Organization
AAA HOME VISITING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN ABO-RASS MD (RESIDENT AGENT)
(248) 915-0065
Entity
Organization
Contact information
Practice address
1502 FORT ST, DETROIT, MI 48216
(313) 434-8010
Mailing address
4914 HELEN ST, DEARBORN, MI 48126-2816
(313) 434-8010
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5315068295
MI
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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