ILANA SAMANTHA SAN SOUCI

LIVONIA, MI
NPI1598470189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704330052)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MI  4704330052)
163W00000X Registered Nurse
(Licence: OH  470855)
Enumeration Date2023-01-18
Last Update Date2024-05-14
Business Address
ILANA SAMANTHA SAN SOUCI DNP, FNP-C, BSN, RN
19000 ST JOES PKWY STE 140
LIVONIA, MI 48152-1477
Phone number: 734-213-3688
Mailing Address
ILANA SAMANTHA SAN SOUCI DNP, FNP-C, BSN, RN
24 FRANK LLOYD WRIGHT DR # J2000
ANN ARBOR, MI 48105-9484
Phone number: 734-747-6766