Individual
DANYELL LATRICE BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 RAILROAD ST, 323 A, YPSILANTI, MI 48197-3508
(313) 728-1022
Mailing address
950 RAILROAD ST, 323 A, YPSILANTI, MI 48197-3508
(313) 728-1022
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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