Search › Michigan › 374J00000X
Shatara Wilson
NPI 1972283380 · on the registry since 2023 · sole proprietor
Practice
- Address
- 421 Harper Ave Apt 3
Detroit, MI 48202 - Phone
- (734) 934-7281
- Organisation at this address
- Chosen On Purpose Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2023-07-20
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