Individual
AINSLEY BELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2102
(248) 727-3456
Mailing address
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2102
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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