ALIVIA SHALLAL

DETROIT, MI
NPI1851246615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2026-02-26
Last Update Date2026-05-28
Business Address
ALIVIA SHALLAL
259 MACK AVE
DETROIT, MI 48201-2427
Phone number: 313-577-1368
Mailing Address
ALIVIA SHALLAL
259 MACK AVE
DETROIT, MI 48201-2427
Phone number:
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