Individual
SHARNA DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21885 DUNHAM RD, CLINTON TOWNSHIP, MI 48036-1030
(586) 469-5950
Mailing address
21885 DUNHAM RD, CLINTON TOWNSHIP, MI 48036-1030
(586) 469-5950
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6401009562
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386004868
—
MI
Enumeration date
07/22/2015
Last updated
07/22/2015
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