Danyell Latrice Bragg
Technician, Other in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1902283781
StatusActive
Last updated in NPPESApr 30, 2015
Details
- NPI
- 1902283781
- Entity type
- Individual (NPI-1)
- Name
- Danyell Latrice Bragg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2015
- Last updated
- Apr 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
950 Railroad St323 A
Ypsilanti, MI 48197-3508
Phone 313-728-1022
Mailing address
950 Railroad St323 A
Ypsilanti, MI 48197-3508
Phone 313-728-1022
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