STACI DAMIANI

TRENTON, MI
NPI1043753502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MI  4704273650)
Enumeration Date2016-11-30
Last Update Date2016-11-30
Business Address
-- STACI DAMIANI
1675 KINGSWAY CT
TRENTON, MI 48183-1958
Phone number: 734-676-8530
Mailing Address
-- STACI DAMIANI
1675 KINGSWAY CT
TRENTON, MI 48183-1958
Phone number: 734-676-8530