Individual
AMANDA KASSAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33060 NORTHWESTERN HWY, WEST BLOOMFIELD, MI 48322-3693
(248) 328-2939
Mailing address
33060 NORTHWESTERN HWY, WEST BLOOMFIELD, MI 48322-3693
(248) 328-2939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704348356
MI
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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