Individual
SHANIA ALYSSA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(734) 765-2755
Mailing address
16155 BRAMELL ST, DETROIT, MI 48219-3756
(734) 765-2755
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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