Individual
EVELINE PASSENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 OWENDALE DR, TROY, MI 48083-1913
(313) 922-2222
(866) 287-5710
Mailing address
1059 OWENDALE DR, TROY, MI 48083-1913
(313) 922-2222
(866) 287-5710
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704234730
MI
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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