TERESA KAS POUTROS

SOUTHFIELD, MI
NPI1548937162
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  AG05210095)
Enumeration Date2021-08-23
Last Update Date2021-08-23
Business Address
TERESA KAS POUTROS AGPCNP-BC
25130 SOUTHFIELD RD STE 120
SOUTHFIELD, MI 48075-1900
Phone number: 248-234-6799
Mailing Address
TERESA KAS POUTROS AGPCNP-BC
15506 CLAREMONT DR N
CLINTON TOWNSHIP, MI 48038-3576
Phone number: 586-567-5556