Individual
MISS ALESSANDRA VITA MARIA DIPACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49970 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-1347
(586) 991-6596
Mailing address
8466 37 MILE RD, BRUCE TWP, MI 48065-1351
(586) 929-1201
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/24/2020
Last updated
05/16/2022
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