Individual
WAFAA F ABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
15400 MICHIGAN AVE, DEARBORN, MI 48126-3491
(313) 584-3359
Mailing address
15400 MICHIGAN AVE, DEARBORN, MI 48126-3491
(313) 584-3359
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704281995
MI
Other
Enumeration date
12/05/2017
Last updated
03/17/2018
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