SearchMichigan164W00000X

Shanita Williams

NPI 1710541776 · on the registry since 2019 · sole proprietor

Practice

Address
19964 Greenview Ave
Detroit, MI 48219
Phone
(313) 646-1868

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-25

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