Individual
SALLY WARDA KEJBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
615 PARKLAND DR, ROCHESTER HILLS, MI 48307-3453
(248) 298-9549
Mailing address
615 PARKLAND DR, ROCHESTER HILLS, MI 48307-3453
(248) 298-9549
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704327329
MI
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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