Michelle Anna Detka

NPI #1669077152 in Buckeye, Arizona

Provider Information

NPI Number: 1669077152
Entity Type: Individual
Name: Michelle Anna Detka
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 2, 2020
Last Updated: Dec 2, 2020

Practice Location

Address: 25556 W CROWN KING RD
City: Buckeye
State: Arizona
ZIP Code: 85326-9139
Phone: (347) 756-2794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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