Individual
DEEAN MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29750 WERTHAM CT, FARMINGTON HILLS, MI 48331-1720
(248) 505-1446
Mailing address
29750 WERTHAM CT, FARMINGTON HILLS, MI 48331-1720
(248) 505-1446
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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