CARLY ALYSE SHAMOUN

COMMERCE TOWNSHIP, MI
NPI1639796089
Former NameCARLY ALYSE BALDASSARRA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704314978)
Enumeration Date2020-07-01
Last Update Date2023-08-09
Business Address
Mrs. CARLY ALYSE SHAMOUN FNP-C
9640 COMMERCE RD STE 104
COMMERCE TOWNSHIP, MI 48382-4167
Phone number: 248-363-1500
Mailing Address
Mrs. CARLY ALYSE SHAMOUN FNP-C
210 FOUNTAIN PARK DR
WATERFORD, MI 48327-3529
Phone number: 248-410-1256
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