Individual
VIANCA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24696 N ELDA CT APT 140B, HARRISON TOWNSHIP, MI 48045-2353
(313) 469-5739
Mailing address
24696 N ELDA CT APT 140B, HARRISON TOWNSHIP, MI 48045-2353
(313) 469-5739
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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