Individual
MS. SHEENA TALANYA DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
Mailing address
18701 GRAND RIVER AVE STE 141, DETROIT, MI 48223-2214
(248) 722-0474
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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