Individual
MISS FELICIA CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41021 OLD MICHIGAN AVE TRLR 255, CANTON, MI 48188-2731
(313) 459-8961
Mailing address
41021 OLD MICHIGAN AVE TRLR 255, CANTON, MI 48188-2731
(313) 459-8961
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247200000X
247200000X/TECHNICIAN -OTHER
MI
Enumeration date
04/02/2015
Last updated
04/02/2015
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