MEGAN VIRGINIA DEMALLIE

SOUTHFIELD, MI
NPI1376133470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704325132)
Enumeration Date2021-01-22
Last Update Date2021-09-07
Business Address
MEGAN VIRGINIA DEMALLIE
29877 TELEGRAPH RD
SOUTHFIELD, MI 48034-1332
Phone number: 248-354-8003
Mailing Address
MEGAN VIRGINIA DEMALLIE
29877 TELEGRAPH RD
SOUTHFIELD, MI 48034-1332
Phone number:
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