SHELLEY ANTONUCCI

DETROIT, MI
NPI1497211338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704261629)
Enumeration Date2019-02-15
Last Update Date2019-02-15
Business Address
Ms. SHELLEY ANTONUCCI Nurse Practitioner
17187 SCHAEFER HWY
DETROIT, MI 48235-4132
Phone number: 313-960-6605
Mailing Address
Ms. SHELLEY ANTONUCCI Nurse Practitioner
355 TYLER ROAD
LASALLE, ONTARIO N9J3X2
Phone number:
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