Individual
MS. CARLY LYNN KASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5645
(248) 338-5547
Mailing address
232 GRACE AVUENUE, ROCHESTER HILLS, MI 48307
(248) 227-2897
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704297338
MI
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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