Individual
CHRISMA NATHANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28783 GLENWOOD, FLAT ROCK, MI 48134-9695
(734) 516-5814
Mailing address
28783 GLENWOOD, FLAT ROCK, MI 48134-9695
(734) 516-5814
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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