Individual
ABTAHAL NASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
(248) 745-4900
Mailing address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
(248) 745-4900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00276893
BLUE CARE NETWOEK
MI
Enumeration date
02/07/2023
Last updated
02/07/2023
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