Individual
MAHULIE HAZLE CHRISTMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 EDISON ST, DETROIT, MI 48206-2073
(313) 209-1315
Mailing address
1709 EDISON, DETROIT, MI 48206
(313) 209-1315
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
C623575298712
MI
247200000X
Other Technician
Primary
C623575298712
MI
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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