JUSEMA FANTILLO

DETROIT, MI
NPI1114654779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WG0600X Registered Nurse, Gerontology
(Licence: MI  4704301171)
Enumeration Date2022-08-04
Last Update Date2022-08-04
Business Address
JUSEMA FANTILLO
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-4242
Mailing Address
JUSEMA FANTILLO
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-4242
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