Individual
MARCIE ANN GIAMMANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724
(313) 416-6200
Mailing address
12084 MCCANN ST, SOUTHGATE, MI 48195-2291
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902013987
MI
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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