Individual
ALYSIA HADDIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13333 ALLEN RD, SOUTHGATE, MI 48195-2216
(313) 445-6464
Mailing address
9254 MANOR AVE, ALLEN PARK, MI 48101-1424
(311) 344-5646
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/24/2016
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