MARISLENE DELVA

TAYLOR, MI
NPI1144603721
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601007382)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  9108647)
363A00000X Physician Assistant
(Licence: NY  018640-1)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
-- MARISLENE DELVA
25420 GODDARD ROAD
TAYLOR, MI 48180
Phone number: 313-388-1666
Mailing Address
-- MARISLENE DELVA
11352 GABRIEL STREET
ROMULUS, MI 48174
Phone number: 313-575-8111