Individual
MARY JOSEPHINE-FRESARD HOLLEBRANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16200 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1103
(586) 263-8769
(586) 263-8769
Mailing address
15396 VINCENT ST, CLINTON TOWNSHIP, MI 48038-5805
(586) 263-0114
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704136098
MI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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