Individual
AMENA FALAH AL-KHAFAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 FORT ST, LINCOLN PARK, MI 48146-1840
(313) 925-3325
Mailing address
1158 FORT ST, LINCOLN PARK, MI 48146-1840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
363A00000X
Physician Assistant
Primary
5601011749
MI
Other
Enumeration date
02/06/2018
Last updated
04/25/2026
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