Individual
RUBENA KEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 307-0088
(313) 281-2235
Mailing address
32 TILLOU RD W, SOUTH ORANGE, NJ 07079-1357
(732) 331-7797
(732) 544-0474
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00382500
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
4704317076
MI
Other
Enumeration date
06/22/2012
Last updated
11/07/2020
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