Individual
BENNETE ABRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
(313) 824-1000
Mailing address
10809 MACK AVE, DETROIT, MI 48214-2119
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
08/07/2023
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