Individual
STEPHANIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 416-6262
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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