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Individual

MRS. AYESHA MASSEY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
25200 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081-2116
(586) 884-5656
Mailing address
25200 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081-2116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704310793
MI

Other

Enumeration date
09/24/2018
Last updated
07/01/2019
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