Individual
JAVIER ZARATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
PO BOX 675137, DETROIT, MI 48267-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704293727
MI
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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