Individual
CLARISSA DAWN STEWART -GUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURE
Contact information
Practice address
2359 W SHIAWASSEE AVE, SUITE E, FENTON, MI 48430-1706
(810) 750-2004
Mailing address
2359 W SHIAWASSEE AVE, SUITE E, FENTON, MI 48430-1706
(810) 750-2004
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
NCCAOM102482
MI
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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