Individual
DEIAA E ELHAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 235-1746
Mailing address
25110 THORNRIDGE DR, GRAND BLANC, MI 48439-9277
(810) 964-7811
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351050660
MI
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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