Individual
ELVIRA SHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31161 WILDWOOD ST APT 6209, WIXOM, MI 48393-2629
(586) 843-6823
Mailing address
31161 WILDWOOD ST APT 6209, WIXOM, MI 48393-2629
(586) 843-6823
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L134949
MI
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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