Individual
ALICIA HALEY PETRUNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
3671 BUCKINGHAM AVE, BERKLEY, MI 48072-1464
(586) 612-8817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704330124
MI
Other
Enumeration date
10/15/2019
Last updated
12/05/2022
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