MARIVIC BALASOTE

DETROIT, MI
NPI1053492462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: MI  4704142699)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
Mrs. MARIVIC BALASOTE MSN,RNC,CNNP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-0467
Mailing Address
Mrs. MARIVIC BALASOTE MSN,RNC,CNNP
1126 BRUNSWICK
ROCHESTER HILLS, MI 48309-3759
Phone number: 313-916-0467
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