CHANTAL TIFFANY THERESE MATTAR

DETROIT, MI
NPI1366291809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704288255)
Enumeration Date2024-05-16
Last Update Date2024-10-06
Business Address
CHANTAL TIFFANY THERESE MATTAR NP
12121 BROADSTREET AVE
DETROIT, MI 48204-1550
Phone number: 313-824-1000
Mailing Address
CHANTAL TIFFANY THERESE MATTAR NP
12121 BROADSTREET AVE
DETROIT, MI 48204-1550
Phone number: 313-824-1000