Individual
DASHAWN TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6468 MCCLELLAND RD, HOLLY, MI 48442-8445
(248) 303-5934
Mailing address
6468 MCCLELLAND RD, HOLLY, MI 48442-8445
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
T416135510807
MI
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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