Individual
SHAKIRA LASHAY WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5840 N CANTON CENTER RD STE 270, CANTON, MI 48187-2614
(734) 366-1665
Mailing address
5840 N CANTON CENTER RD STE 270, CANTON, MI 48187-2614
(734) 366-1665
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
05/02/2023
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