Individual
KIFAYA SHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5476 TERNES ST, DEARBORN, MI 48126-3039
(313) 363-2956
Mailing address
5476 TERNES ST, DEARBORN, MI 48126
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
4704249390
MI
363L00000X
Nurse Practitioner
Primary
4704249390
MI
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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