Individual
KRISTINA MARIE GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2097
(313) 745-7233
Mailing address
1632 STONE ST, SAGINAW, MI 48602
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
04/17/2024
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