Individual
CAROLYN MARIE DEMETRIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 TOWNE SQ, SOUTHFIELD, MI 48076-3769
(313) 208-7376
Mailing address
261 FRANKLIN ST, HOLLY, MI 48442-8576
(734) 223-9990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704172631
MI
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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