Individual
ELISAVETA MARIA DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HERITAGE DR, SOUTHGATE, MI 48195-3094
(734) 552-7633
Mailing address
1 HERITAGE DR, SOUTHGATE, MI 48195-3094
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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