Individual
SHIRLEY DIAMOND-HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E JOLLY RD APT B8, LANSING, MI 48910-6683
(517) 410-6252
Mailing address
101 E JOLLY RD APT B8, LANSING, MI 48910-6683
(517) 410-6252
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98432963
STATE OF MICHIGAN
MI
01
—
SS 9198
SS LAST 4-9198
MI
Enumeration date
09/30/2016
Last updated
09/30/2016
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