DOMINIQUE BUMANGLAG SULLANO

DETROIT, MI
NPI1265142384
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: MI  4704204783)
Enumeration Date2022-11-29
Last Update Date2024-01-23
Business Address
DOMINIQUE BUMANGLAG SULLANO
707 W MILWAUKEE ST
DETROIT, MI 48202-2943
Phone number: 248-817-7597
Mailing Address
DOMINIQUE BUMANGLAG SULLANO
707 W MILWAUKEE ST
DETROIT, MI 48202-2943
Phone number: 248-817-7597
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