Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156F00000X | Technician/Technologist |
NPI | 1134790819 |
---|---|
Provider Name | D'air Mays |
First Address | Stuart, FL 34997-7462 |
Second Address | Detroit, MI 48243-1502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2021 |
Last Update Date | 29/09/2021 |