Individual
MRS. CERESTE DUPRAT-FABRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8831 TAMARACK LN, YPSILANTI, MI 48197-9664
(269) 369-3423
Mailing address
8831 TAMARACK LN, YPSILANTI, MI 48197-9664
(269) 369-3423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704227760
MI
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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