ALEXANDRA DEPORRE

DETROIT, MI
NPI1467831065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MI  4301502122)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-05-28
Last Update Date2021-03-02
Business Address
ALEXANDRA DEPORRE
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-948-1478
Mailing Address
ALEXANDRA DEPORRE
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-948-1478