Individual
MIRNA A KHANAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 N HAGGERTY RD STE 200, CANTON, MI 48187-4472
(734) 981-8181
Mailing address
1826 N HIGHLAND ST, DEARBORN, MI 48128-1289
(313) 820-3951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704321482
MI
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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