Individual
MARY PADALINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20955 BOURNEMOUTH ST, HARPER WOODS, MI 48225-2301
(313) 423-6106
Mailing address
35640 W MICHIGAN AVE, WAYNE, MI 48184-1628
(734) 729-7792
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
P345587461969
MI
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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