Most Relevant Information
Provider Data
| NPI Number: | 1003528712 |
| Provider Name: | ATALAYA ADAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 156F00000X |
| Specialty: | Technician/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2022 |
| Last Updated: | 12/14/2022 |
Provider Practice Location
1 HERITAGE DR
SOUTHGATE
MI
481953094
Practice Location Phone/Fax
| Phone: | 7347672250 |
| Fax: |
Provider Mailing Location
1 HERITAGE DR
SOUTHGATE
MI
481953094
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |