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Dajau Shanta Grady
Technician/Technologist in Dearborn, Michigan
NPI 1619624723

Dajau Shanta Grady is a Technician/Technologist based in Dearborn, MI. Dajau Shanta Grady practices in Dearborn, MI. The NPI Number for Dajau Shanta Grady is 1619624723 and holds a License No. (Michigan).

The current practice location address for Dajau Shanta Grady is 19853 Outer Dr Ste 110, Dearborn, MI and can be reached out via phone at 248-712-4381.

Location: 19853 Outer Dr Ste 110, Dearborn, MI, 48124-2044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619624723
Provider Name
Dajau Shanta Grady
Credential
Provider Entity Type
Individual
Gender
Female
Address
19853 Outer Dr Ste 110, Dearborn, MI, 48124-2044
Phone Number
248-712-4381
Fax Number
Provider Enumeration Date
03/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19853 Outer Dr Ste 110
City
Dearborn
State
Michigan
Zip
48124-2044
Phone Number
248-712-4381
Fax Number
person
Provider Business Mailing Address Details
Address
19853 Outer Dr Ste 110
City
Dearborn
State
Michigan
Zip
48124-2044
Phone Number
248-712-4381
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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