Adrienne Haralson

NPI 1104035229 - Specialist - 174400000X

NPI Details
NPI 1104035229
Gender Female
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1475 E OUTER DR
DETROIT MI, 48234-1265, US
Phone (313) 371-0055
Fax (313) 371-1409
Business Location
24330 PEMBROKE AVE
DETROIT MI, 48219-1050, US
Phone (313) 369-8678
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Adrienne Haralson NPI is 1104035229, taxonomy code is 174400000X Adrienne Haralson physically located at 1475 E Outer Dr, Detroit MI, 48234-1265. NPI Number Adrienne Haralson has the Individual type.

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1104035229 NPI number is provided on an as is basis without warranty of any kind. 1104035229 is maintained by the National Plan & Provider Enumeration System. The contents of Adrienne Haralson are for informational purposes only.