Individual
GABRIELLE DESHAZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
21501 GODDARD RD, TAYLOR, MI 48180-4247
(734) 250-7943
(734) 785-8346
Mailing address
21501 GODDARD RD, TAYLOR, MI 48180-4247
(734) 250-7943
(734) 785-8346
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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