Individual
FAYE ROSE UNTRACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(313) 961-4890
Mailing address
1505 HOFFMAN AVE, ROYAL OAK, MI 48067-3426
(818) 836-2070
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704365089
MI
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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