Individual
SALY ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6315 DORT HWY, GRAND BLANC, MI 48439-2704
(810) 579-0453
Mailing address
11111 THORNRIDGE DR, GRAND BLANC, MI 48439-8973
(248) 312-9305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005190
MI
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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