Charmaine Land

NPI #1518417716 in Inkster, Michigan

Provider Information

NPI Number: 1518417716
Entity Type: Individual
Name: Charmaine Land
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 11, 2016
Last Updated: Oct 11, 2016

Practice Location

Address: 26759 SUNNINGDALE DR
City: Inkster
State: Michigan
ZIP Code: 48141-1809
Phone: (313) 879-9419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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