Individual
SHANTANIQUE JAMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15620 MACARTHUR, REDFORD, MI 48239-3919
(313) 207-9682
Mailing address
15620 MACARTHUR, REDFORD, MI 48239-3919
(313) 207-9682
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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