Individual
MRS. KAKRA HANIFAH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
1641 PRAIRIE DR, PONTIAC, MI 48340-1085
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704244696
MI
Other
Enumeration date
06/07/2018
Last updated
09/29/2022
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