Individual
MRS. CRYSTAL DALLOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
28595 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48334-2979
(248) 553-0010
(248) 553-5957
Mailing address
28595 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48334-2979
(248) 553-0010
(248) 553-5957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704342831
MI
Other
Enumeration date
09/29/2021
Last updated
09/24/2024
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