Individual
MRS. MICHELLE LOUISE DELOSSANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSATC
Contact information
Practice address
3901 BAY RD, SAGINAW, MI 48603-2438
(989) 797-6040
(989) 797-6054
Mailing address
130 CAMELOT DR, APT. A10, SAGINAW, MI 48638-6457
(989) 245-6056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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