Individual
AMELIE GHASSAN MOZAHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 N FRANKLIN ST, DEARBORN, MI 48128-1024
(313) 713-7602
Mailing address
1124 N FRANKLIN ST, DEARBORN, MI 48128-1024
(313) 713-7602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01231370
MI
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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