Individual
SHAUNTEL DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8536 WARD ST, DETROIT, MI 48228-4037
(248) 382-8185
Mailing address
3925 SPRUCE ST, INKSTER, MI 48141-2921
(248) 499-3151
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P200765234603
—
MI
Enumeration date
03/04/2022
Last updated
03/04/2022
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