SHALETTA NUCKOLLS

WEST BLOOMFIELD, MI
NPI1568083426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601009964)
Enumeration Date2020-05-02
Last Update Date2024-03-07
Business Address
SHALETTA NUCKOLLS PA-C
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 248-325-1000
Mailing Address
SHALETTA NUCKOLLS PA-C
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 313-492-0080
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