Individual
MS. ENO ESU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8136 APPOLINE ST, DETROIT, MI 48228-4002
(313) 244-5535
Mailing address
8136 APPOLINE ST, DETROIT, MI 48228-4002
(313) 244-5535
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
E200230282091
MI
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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