Individual
DIANA SIMONE PETROULEAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9000
Mailing address
1712 N ALEXANDER AVE, ROYAL OAK, MI 48067-3659
(231) 838-9500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704352854
MI
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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