Individual
MS. SHANA EVAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9030 GRANDVILLE AVE, DETROIT, MI 48228-1720
(248) 259-6424
Mailing address
9030 GRANDVILLE, DETROIT, MI 48228
(248) 259-6424
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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