Individual
MRS. KRISTA MARIE FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22830 DOREMUS ST, SAINT CLAIR SHORES, MI 48080-2707
(248) 250-4347
Mailing address
22830 DOREMUS ST, SAINT CLAIR SHORES, MI 48080-2707
(248) 250-4347
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704297753
MI
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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