Individual
LULADAY W TEBEJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-7235
Mailing address
19144 RED OAK LN, BROWNSTOWN, MI 48193-8802
(248) 508-8047
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704258722
MI
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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