Individual
MALEKA IMRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3848 OLIVER ST, HAMTRAMCK, MI 48211-1557
(313) 559-2453
Mailing address
3848 OLIVER ST, HAMTRAMCK, MI 48211-1557
(313) 559-2453
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102523560
—
MI
Enumeration date
06/30/2015
Last updated
06/30/2015
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