SearchMichigan372600000X

Geisha Burton

NPI 1407412638 · on the registry since 2019

Practice

Address
8160 E Lantz St
Detroit, MI 48234
Phone
(248) 635-0601
Organisation at this address
Royal Family Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
372600000X
372600000X
Also registered as
374U00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-13

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