Individual
SHATONYIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17421 TELEGRAPH RD, DETROIT, MI 48219-3165
(313) 255-0900
Mailing address
16500 N PARK DR APT 1512, SOUTHFIELD, MI 48075-4767
(313) 587-7356
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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