MAKAYLA SHANNEL BLACKWELL

DETROIT, MI
NPI1851268833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-10-22
Last Update Date2025-10-22
Business Address
MAKAYLA SHANNEL BLACKWELL
6700 W OUTER DR
DETROIT, MI 48235-2724
Phone number: 313-836-1700
Mailing Address
MAKAYLA SHANNEL BLACKWELL
12940 ASBURY PARK
DETROIT, MI 48227-1259
Phone number: 313-622-4425