Individual
SIMMONE CORA ARIELLE DEROUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 WOODWARD AVE, DETROIT, MI 48202-3165
(313) 896-1444
Mailing address
7310 WOODWARD AVE STE 6, DETROIT, MI 48202-3165
(313) 896-1444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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