Individual
MRS. SIHAM HASSAN FERDAOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20331 FARMINGTON RD, LIVONIA, MI 48152-1411
(248) 478-1100
Mailing address
5051 JONATHON ST, DEARBORN, MI 48126-3508
(313) 675-0377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704201356
MI
Other
Enumeration date
09/22/2018
Last updated
09/22/2018
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