Individual
YATONYA BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14886 RUTHERFORD ST, DETROIT, MI 48227-1808
(313) 645-0313
Mailing address
14886 RUTHERFORD ST, DETROIT, MI 48227-1808
(313) 645-0313
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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