SearchMichigan251E00000X

Mercedes Wallace

NPI 1225883853 · on the registry since 2024 · sole proprietor

Practice

Address
18821 Keystone St
Detroit, MI 48234
Phone
(313) 681-3944

Registry record

Primary taxonomy
251E00000X
251E00000X
Sex
Female
Record last updated
2024-04-18

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