Individual
MANJU JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(586) 303-6654
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1848
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704244383
MI
Other
Enumeration date
02/26/2012
Last updated
07/21/2022
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