ASILIS JOSE DEFRAN

SOUTHFIELD, MI
NPI1467202051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
ASILIS JOSE DEFRAN MD
22250 PROVIDENCE DRIVE 7PMB SUITE #703A
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-5862
Mailing Address
ASILIS JOSE DEFRAN MD
22250 PROVIDENCE DRIVE 7PMB SUITE #703A
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-5862
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