Individual
SASHA SAMANTHA OHLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-7000
Mailing address
7485 BUCKTHORN DR, WEST BLOOMFIELD, MI 48324-2519
(248) 802-7233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704281569
MI
Other
Enumeration date
08/07/2015
Last updated
09/22/2017
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