Individual
CAITLYN FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 216-0754
Mailing address
12377 N TERRITORIAL RD, DEXTER, MI 48130-8562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704253543
MI
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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