Shantique Dortch, | |
39449 Della Rosa Dr, Sterling Heights, MI 48313-5227 | |
(313) 870-8736 | |
Not Available |
Full Name | Shantique Dortch |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 39449 Della Rosa Dr, Sterling Heights, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144706169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703117952 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shantique Dortch, 39449 Della Rosa Dr, Sterling Heights, MI 48313-5227 Ph: (313) 870-8736 | Shantique Dortch, 39449 Della Rosa Dr, Sterling Heights, MI 48313-5227 Ph: (313) 870-8736 |
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