Individual
ALIVIA DANIELLE DESENFANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2679 TACKLES DR, WHITE LAKE, MI 48386-1562
(248) 860-4757
Mailing address
2679 TACKLES DR, WHITE LAKE, MI 48386-1562
(248) 860-4757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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