DESIREE SANTIAGO

BIRMINGHAM, MI
NPI1154777183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: MI  AS820379695)
Enumeration Date2016-05-09
Last Update Date2016-05-09
Business Address
-- DESIREE SANTIAGO
517 GRATEN ST
BIRMINGHAM, MI 48009-6519
Phone number: 248-952-4011
Mailing Address
-- DESIREE SANTIAGO
517 GRATEN ST
BIRMINGHAM, MI 48009-6519
Phone number: 248-952-4011