Individual
FATIMA EBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3175 W. PROFESSIONAL DRIVE, SUITE 1, BAY CITY, MI 48706
(989) 895-4625
Mailing address
3175 W. PROFESSIONAL DRIVE, SUITE 1, BAY CITY, MI 48706
(989) 895-4625
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351053589
MI
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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