Individual
EDUARDO AVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
2215 E UNIVERSITY AVE, ROYAL OAK, MI 48067-2329
(313) 410-4602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704360388
MI
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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