Individual
CHERESSA RAQUEL HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1235 INDUSTRIAL DR STE 1, SALINE, MI 48176-1742
(734) 944-8000
Mailing address
3315 SYCKELMOORE ST, TRENTON, MI 48183-3570
(419) 966-7891
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601008264
MI
Other
Enumeration date
06/04/2017
Last updated
03/17/2018
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