Individual
SHANTEKA M ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3116 ALTER RD, DETROIT, MI 48215-2574
(313) 808-2467
Mailing address
3116 ALTER RD, DETROIT, MI 48215-2574
(313) 808-2467
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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