Individual
JANIECE GRAY-HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25583 PORTICO LN, NOVI, MI 48375-1862
(313) 624-7962
(248) 692-0828
Mailing address
25583 PORTICO LN, NOVI, MI 48375-1862
(313) 624-7962
(248) 692-0828
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4703109970
MI
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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