Individual
MS. SHANTAE T THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 MURPHY ST, LINDEN, MI 48451-9049
(810) 417-5288
Mailing address
209 MURPHY ST, LINDEN, MI 48451-9049
(810) 417-5288
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
803049086
MI
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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