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Individual

MRS. NISSRIN RITA MALOUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,PA-C

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3364
Mailing address
2107 PRESCOTT DR, TROY, MI 48083-2529
(248) 790-3331

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601004305
MI
363AM0700X
Medical Physician Assistant
Primary
5601004305
MI
363AS0400X
Surgical Physician Assistant
5601004305
MI

Other

Enumeration date
04/18/2007
Last updated
09/11/2025
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