Individual
MRS. IMANA FARAH MINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, EMT-P
Contact information
Practice address
10241 ROLAN MEADOWS DR, BELLEVILLE, MI 48111-8104
(313) 477-8168
Mailing address
10241 ROLAN MEADOWS DR, BELLEVILLE, MI 48111-8104
(313) 477-8168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704269427
MI
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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