Aniysa Wylie

NPI #1235530767 in Eastpointe, Michigan

Provider Information

NPI Number: 1235530767
Entity Type: Individual
Name: Aniysa Wylie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 16, 2014
Last Updated: Sep 16, 2014

Practice Location

Address: 15321 SPRENGER AVE
City: Eastpointe
State: Michigan
ZIP Code: 48021-3609
Phone: (734) 205-7522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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