Individual
KATHRYN FARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
344 E HARRY AVE, HAZEL PARK, MI 48030-2055
(248) 850-0263
Mailing address
344 E HARRY AVE, HAZEL PARK, MI 48030-2055
(248) 850-0263
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704311216
MI
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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