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MRS. DEANNA LATRISE FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4160 JOHN R ST STE 510, DETROIT, MI 48201-2021
(313) 993-7777
Mailing address
24321 TAMARACK CIR, SOUTHFIELD, MI 48075-6182
(248) 595-1054

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704218153
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704218153
MI

Other

Enumeration date
12/19/2006
Last updated
01/21/2019
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