Individual
SARAH SHALTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18821 MYRON ST, LIVONIA, MI 48152-4903
(248) 719-2574
Mailing address
18821 MYRON ST, LIVONIA, MI 48152-4903
(248) 719-2574
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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