LENAE SHANTELLE HOUSE

DETROIT, MI
NPI1871346767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4351052367)
Enumeration Date2024-04-09
Last Update Date2024-04-20
Business Address
LENAE SHANTELLE HOUSE MD
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 801-673-3633
Mailing Address
LENAE SHANTELLE HOUSE MD
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number:
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