ANTILISHIA O'BANNON

SOUTHFIELD, MI
NPI1760243661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2024-01-17
Last Update Date2024-01-17
Business Address
ANTILISHIA O'BANNON Cranial Prosthesis
25140 LAHSER RD STE 212
SOUTHFIELD, MI 48033-6200
Phone number: 313-452-2662
Mailing Address
ANTILISHIA O'BANNON Cranial Prosthesis
25140 LAHSER RD STE 212
SOUTHFIELD, MI 48033-6200
Phone number: 313-452-2662
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