Individual
AHMED H ALY-ABDEL-LATIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5146 PARKSIDE DR, WEST BLOOMFIELD, MI 48323-2169
(313) 434-6667
Mailing address
5146 PARKSIDE DR, WEST BLOOMFIELD, MI 48323-2169
(313) 434-6667
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704293356
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704293356
MI
Other
Enumeration date
07/12/2021
Last updated
12/24/2024
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