MICHELLE ANNA DETKA

BUCKEYE, AZ
NPI1669077152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-12-02
Last Update Date2020-12-02
Business Address
MICHELLE ANNA DETKA
25556 W CROWN KING RD
BUCKEYE, AZ 85326-9139
Phone number: 347-756-2794
Mailing Address
MICHELLE ANNA DETKA
25556 W CROWN KING RD
BUCKEYE, AZ 85326-9139
Phone number: 347-756-2794