Individual
MARY DENAY BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30722 BEECHWOOD ST APT 47108, WIXOM, MI 48393-2802
(248) 635-2591
Mailing address
30722 BEECHWOOD ST APT 47108, WIXOM, MI 48393-2802
(248) 635-2591
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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