| NPI | 1447093794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON FELIPE SORIA Family Nurse Practitioner 313-505-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |