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Individual

SONYA AYOUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
29877 TELEGRAPH RD STE L-112, SOUTHFIELD, MI 48034-1332
(313) 588-0379
Mailing address
15635 DASHER AVE, ALLEN PARK, MI 48101-2731
(313) 588-0379

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704327302
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
AG03210082
MI

Other

Enumeration date
06/08/2021
Last updated
04/23/2024
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