Individual
SURRETTA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6264 GREENVIEW DR, BURTON, MI 48509-1361
(810) 962-6196
Mailing address
6264 GREENVIEW DR, BURTON, MI 48509-1361
(810) 962-6196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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