SearchMichigan103TA0700X

Selina Douglass

NPI 1124533344 · on the registry since 2017 · sole proprietor

Practice

Address
16999 Morrison St
Southfield, MI 48076
Phone
(248) 875-0996

Registry record

Primary taxonomy
103TA0700X
103TA0700X
Sex
Female
Record last updated
2017-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan