Individual
LISA ZETUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
3909 WOODWARD AVE APT 504, DETROIT, MI 48201-2179
(248) 508-0826
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704284774
MI
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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