Individual
SHELBY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.S., A.A., A.G.S.
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
10443 MORRISH RD, MONTROSE, MI 48457-9050
(810) 333-0401
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
01/16/2017
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