Individual
DANYALLE PETERSON-CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15113 MARK TWAIN ST, DETROIT, MI 48227-2917
(313) 948-1662
Mailing address
15113 MARK TWAIN ST, DETROIT, MI 48227-2917
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111535
MI
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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