Individual
JUSTINA A NZUMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6773 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 788-3183
Mailing address
27795 ABINGTON ST, SOUTHFIELD, MI 48076-4855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704171308
MI
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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