Individual
ESMAHAN FAYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4842 ARGYLE ST, DEARBORN, MI 48126-3180
(313) 205-6351
Mailing address
4842 ARGYLE ST, DEARBORN, MI 48126-3180
(313) 205-6351
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704333779
MI
363LG0600X
Gerontology Nurse Practitioner
4704333779
MI
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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