Individual
DESIREE NAMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2696 W LONG LAKE RD, WEST BLOOMFIELD, MI 48323-1830
(248) 331-7943
Mailing address
2696 W LONG LAKE RD, WEST BLOOMFIELD, MI 48323-1830
(248) 331-7943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
12/07/2022
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