Individual
ERIAN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 E NEVADA ST, DETROIT, MI 48234-3072
(678) 891-9350
Mailing address
7140 E NEVADA ST, DETROIT, MI 48234-3072
(678) 891-9350
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/02/2016
Last updated
07/02/2016
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