Individual
PARIS GENINE SIMONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4350 JACKSON RD STE 100, ANN ARBOR, MI 48103-1889
(734) 971-9344
(734) 971-2303
Mailing address
22255 BROOKFIELD DR, SOUTH LYON, MI 48178-1595
(248) 497-8375
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704342323
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704342323
MI
Other
Enumeration date
11/29/2022
Last updated
12/01/2022
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