Individual
SHANNON STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 SHADOWLAWN ST, INKSTER, MI 48141-1316
(313) 408-3136
Mailing address
187 SHADOWLAWN ST, INKSTER, MI 48141-1316
(313) 408-3136
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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