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NPI Code Detail

MEDICARE: SHE'KARI DANIEL

MEDICARE: SHE'KARI DANIEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1962112573
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHE'KARI DANIEL
Provider Business Mailing Address
First Line : 1107 E CESAR E CHAVEZ AVE
Second Line :
City : LANSING
State : MI
Zip : 48906-5457
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1107 E CESAR E CHAVEZ AVE
Second Line :
City : LANSING
State : MI
Zip : 48906-5457
Country : US
Telephone Number : 340-643-3626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2022
Last Update Date : 12/05/2022

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Directions to “ SHE'KARI DANIEL ” Practice Location

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