Individual
KASSANDRA L LUOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33475 PALMER RD, WESTLAND, MI 48186-4614
(734) 728-2423
(734) 728-2183
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704156833
MI
Other
Enumeration date
05/18/2010
Last updated
10/22/2020
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