Shannon Blaine
NPI #1134672868 in Pontiac, Michigan
Provider Information
- NPI Number
- 1134672868
- Entity Type
- Individual
- Name
- Shannon Blaine
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Jul 29, 2016
- Last Updated
- Jul 29, 2016
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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