DEVANESE WILSON

DETROIT, MI
NPI1477136539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
DEVANESE WILSON
18921 SUSSEX ST
DETROIT, MI 48235-2841
Phone number: 313-264-4197
Mailing Address
DEVANESE WILSON
28475 GREENFIELD RD STE 113
SOUTHFIELD, MI 48076-3034
Phone number:
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