Individual
LOUISE FRASER PETRUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4300 MARSEILLES ST, DETROIT, MI 48224-1479
(313) 290-2250
Mailing address
4300 MARSEILLES ST, DETROIT, MI 48224-1479
(313) 290-2250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704181297
MI
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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