SHAWNA DAVELLA DIETRICK

ROMULUS, MI
NPI1154955219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy385HR2065X Respite Care, Respite Care, Physical Disabilities, Child
(Licence: MI  d362765135841)
Enumeration Date2020-02-27
Last Update Date2020-02-27
Business Address
SHAWNA DAVELLA DIETRICK
35675 GARNER ST
ROMULUS, MI 48174-4129
Phone number: 810-308-7991
Mailing Address
SHAWNA DAVELLA DIETRICK
PO BOX 74083
ROMULUS, MI 48174-0083
Phone number: 810-308-7991