Individual
SHANDREIAL JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1956 HUBBARD ST, DETROIT, MI 48209-3303
(313) 595-3788
Mailing address
1956 HUBBARD ST, DETROIT, MI 48209-3303
(313) 595-3788
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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