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Individual

MR. QUANG HO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
3215 N ALTADENA AVE, ROYAL OAK, MI 48073-3557
(616) 990-1841
Mailing address
3215 N ALTADENA AVE, ROYAL OAK, MI 48073-3557
(616) 990-1841

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704319450
MI
363LF0000X
Family Nurse Practitioner
4704319450
MI

Other

Enumeration date
01/19/2022
Last updated
01/19/2022
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