NPI 1073484036

Shandale L McKenzie

Practitioner Adult Companion Detroit, MI

Practice location

Address: 7681 Ellsworth St, Detroit, MI 48238-1928
Phone: (313) 989-3149

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1073484036
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2025
Record last updated: 15 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.