Individual
SOHA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
27117 SIMONE ST, DEARBORN HEIGHTS, MI 48127-3339
(313) 632-5005
Mailing address
27117 SIMONE ST, DEARBORN HEIGHTS, MI 48127-3339
(313) 632-5005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704250717
MI
Other
Enumeration date
06/17/2019
Last updated
06/21/2023
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