Individual
MS. CYNTHIA RISHEL STANNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.,C.
Contact information
Practice address
39830 GRAND RIVER AVE, SUITE B3, NOVI, MI 48375-2140
(248) 473-5600
(248) 473-8480
Mailing address
31055 BEACHWALK DR, APT. 2903, NOVI, MI 48377-1424
(248) 669-1985
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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