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Individual

JENNIFER DESTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 473-1000
Mailing address
2879 ROUNDTREE DR, TROY, MI 48083-2331
(586) 604-0465

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704282745
MI

Other

Enumeration date
09/09/2016
Last updated
11/16/2020
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