Individual
MS. LASHAYA DENISE DARISAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.S
Contact information
Practice address
3611 SUFFOLK CT, FLUSHING, MI 48433-3115
(810) 394-9515
Mailing address
3611 SUFFOLK CT, FLUSHING, MI 48433-3115
(810) 394-9515
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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