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Individual

KRISTEN MARIE DESSOUKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
17190 LENNANE, REDFORD, MI 48240-2130
(313) 704-2954
Mailing address
17190 LENNANE, REDFORD, MI 48240-2130
(313) 704-2954

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704276440
MI

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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