Individual
CHRISTINE GHATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(832) 875-7306
Mailing address
1134 WOODSLEE DR, TROY, MI 48083-6602
(832) 875-7306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704336745
MI
363LF0000X
Family Nurse Practitioner
Primary
4704336745
MI
Other
Enumeration date
02/04/2021
Last updated
09/30/2021
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