Individual
MISS KATEY RAMTHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1719 N MILDRED ST, DEARBORN, MI 48128-1238
(313) 330-1970
Mailing address
1719 N MILDRED ST, DEARBORN, MI 48128-1238
(313) 330-1970
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
R535461751924
MI
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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