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Shantale Nard
NPI 1215445820 · on the registry since 2018 · sole proprietor
Practice
- Address
- 21465 Syracuse Ave
Warren, MI 48091 - Phone
- (313) 265-6985
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 374U00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan