Courtnay Ware

NPI #1043755960 in Hazel Park, Michigan

Provider Information

NPI Number: 1043755960
Entity Type: Individual
Name: Courtnay Ware
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 1, 2017
Last Updated: Jan 1, 2017

Practice Location

Address: 49 W HAYES AVE
City: Hazel Park
State: Michigan
ZIP Code: 48030-2408
Phone: (248) 825-5902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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