Individual
IBTIHAL ALGHANIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5728 SCHAEFER RD STE 103, DEARBORN, MI 48126-2287
(313) 581-8080
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704316053
MI
Other
Enumeration date
10/26/2021
Last updated
10/07/2024
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