DESHAWNDRE DEAN BLACK

BINGHAM FARMS, MI
NPI1700352887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156F00000X Technician/Technologist
Enumeration Date2018-10-16
Last Update Date2018-10-16
Business Address
DESHAWNDRE DEAN BLACK
32100 TELEGRAPH RD
BINGHAM FARMS, MI 48025-2452
Phone number: 248-712-4266
Mailing Address
DESHAWNDRE DEAN BLACK
32100 TELEGRAPH RD
BINGHAM FARMS, MI 48025-2452
Phone number: 248-712-4266