Individual
STACI DAMIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 KINGSWAY CT, TRENTON, MI 48183-1958
(734) 676-8530
(734) 676-2319
Mailing address
1675 KINGSWAY CT, TRENTON, MI 48183-1958
(734) 676-8530
(734) 676-2319
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704273650
MI
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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