Marcella Marie Lane

NPI #1447406319 in Melvindale, Michigan

Provider Information

NPI Number
1447406319
Entity Type
Individual
Name
Marcella Marie Lane
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Private Vehicle
Enumeration Date
Aug 12, 2008
Last Updated
Aug 12, 2008

Practice Location

Address
17625 REED ST
ZIP Code
48122-1142
Phone
(313) 282-9151

Specialties & Taxonomy Codes

Specialty
Private Vehicle

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