Individual
MS. DIANE FRANCES TRALONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3523 GRANGE HALL RD, HOLLY, MI 48442-1007
(248) 382-5791
Mailing address
3523 GRANGE HALL RD, HOLLY, MI 48442-1007
(248) 382-5791
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002470
MI
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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