Individual
ESTEFANI OVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(586) 248-1204
Mailing address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003712170
—
MI
Enumeration date
02/15/2023
Last updated
02/15/2023
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