Individual
CHRISTINA KHAMOOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44201 DEQUINDRE RD STE 203A, TROY, MI 48085-1117
(248) 964-4065
Mailing address
44201 DEQUINDRE RD STE 203A, TROY, MI 48085-1117
(248) 964-4065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007439
MI
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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