Individual
ANGELIECE JOWANIS RAYMONA BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16803 MUIRLAND ST, DETROIT, MI 48221-3014
(517) 499-9331
Mailing address
16803 MUIRLAND ST, DETROIT, MI 48221-3014
(517) 499-9331
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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