AZZA HASSAN OMAR

DETROIT, MI
NPI1568622777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301092216)
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
-- AZZA HASSAN OMAR M.B.ch.B
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-4820
Mailing Address
-- AZZA HASSAN OMAR M.B.ch.B
5470 WESSEX CT APT 107
DEARBORN, MI 48126-2680
Phone number: 313-583-0443
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