Individual
RENEE V SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 FERRY AVE, PONTIAC, MI 48341-3215
(248) 862-4823
(248) 732-7238
Mailing address
275 FERRY AVENUE, PONTIAC, MI 48341-3215
(248) 862-4823
(248) 732-7238
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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