Individual
DR. ALMA VIDA DATARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
DO
Contact information
Practice address
15855 19 MILE RD STE 400-B, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2953
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2953
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5151017237
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/19/2024
Last updated
04/16/2025
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