Provider Information for 1285013979
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THIERA DANYAL CLIFFORD PhD
Sex: Female
NPI: 1285013979
Last Updated: 2024-12-11
Certification Date: 2024-12-11
Certification Date: 2024-12-11
Details
| Name | Value | ||||||||||||||||
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| NPI | 1285013979 | ||||||||||||||||
| Enumeration Date | 2015-05-27 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 9049 CHAMBORD DR YPSILANTI, MI 48197-9281 United States Phone: 313-316-0227 | Fax: | ||||||||||||||||
| Primary Practice Address | 9049 CHAMBORD DR YPSILANTI, MI 48197-9281 United States Phone: 313-800-2497 | Fax: | ||||||||||||||||
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