Individual
LEENA AMMORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2454 MONROE ST STE A, DEARBORN, MI 48124-3038
(313) 562-4100
Mailing address
2103 BEL AIRE, WEST BLOOMFIELD, MI 48323-1909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008859
MI
Other
Enumeration date
10/01/2018
Last updated
12/10/2020
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