Individual
MISS COURTNEY RAE ARCENAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
7595 ANDOVER DR, CANTON, MI 48187-1119
(734) 612-1698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704270535
MI
Other
Enumeration date
10/20/2017
Last updated
03/05/2021
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