Individual
FELICIA DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23266 ITHACA ST, OAK PARK, MI 48237-2289
(734) 971-6300
Mailing address
23266 ITHACA ST, OAK PARK, MI 48237-2289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704242281
MI
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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