Shavonn Burke is a Driver based in Detroit, MI. Shavonn Burke practices in Detroit, MI. The NPI Number for Shavonn Burke is 1588335681 and holds a License No. L146765139011 (Michigan).
The current practice location address for Shavonn Burke is 16193 Cruse St, Detroit, MI and can be reached out via phone at 313-646-0065.
Location: 16193 Cruse St, Detroit, MI, 48235-4002
Provider Profile Details
NPI Number
1588335681
Provider Name
Shavonn Burke
Credential
Provider Entity Type
Individual
Gender
Female
Address
16193 Cruse St, Detroit, MI, 48235-4002
Phone Number
313-646-0065
Fax Number
Provider Enumeration Date
09/28/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
16193 Cruse St
City
State
Zip
48235-4002
Phone Number
313-646-0065
Fax Number
Provider Business Mailing Address Details
Address
16193 Cruse St
City
State
Zip
48235-4002
Phone Number
313-646-0065
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
L146765139011 (Michigan)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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