Vianca Allison

Individual provider Active NPI Other Technician · Harrison Township, MI

NPI 1992192371 · NPPES record last updated Apr 23, 2015

Key facts

NPI
1992192371
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
24696 N Elda CT Apt 140B
Harrison Township, MI 48045-2353
Phone
(313) 469-5739
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

24696 N Elda CT Apt 140B
Harrison Township, MI 48045-2353

Mailing address

24696 N Elda CT Apt 140B
Harrison Township, MI 48045-2353
Phone (313) 469-5739

Other providers in Harrison Township, MI

All providers in Harrison Township, MI · Other Technician in Michigan

Sources for this page

Verify at the official NPI Registry.