Individual
CHANTAY AMBER LEE NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 966-8230
Mailing address
1271 CHRISTINE TER, MADISON HEIGHTS, MI 48071-3868
(313) 404-1785
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
MI
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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