Individual
RACHEL BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22905 GAUKLER ST, SAINT CLAIR SHORES, MI 48080-2561
(586) 872-8959
Mailing address
22905 GAUKLER ST, SAINT CLAIR SHORES, MI 48080-2561
(586) 872-8959
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
B653730603896
MI
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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