Search › Michigan › 224Z00000X
Domenique Mcmahan, COTAL
NPI 1801400734 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3012 Holben Ct
Lake Orion, MI 48360 - Phone
- (586) 854-9874
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Also registered as
- 224Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-11
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