Individual
LEAH MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50955 GLADES CT W, NOVI, MI 48374-3324
(248) 231-3735
Mailing address
50955 GLADES CT W, NOVI, MI 48374-3324
(248) 231-3735
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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