Individual
CIARA L EATMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18700 MACK AVE, GROSSE POINTE FARMS, MI 48236-2923
(313) 925-3486
(313) 925-3497
Mailing address
19179 MCCORMICK ST, DETROIT, MI 48224-1017
(313) 605-0095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1093284564
MI
363L00000X
Nurse Practitioner
NP95010333
CA
Other
Enumeration date
11/14/2018
Last updated
11/15/2023
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