JOSE RAMIL LASALA

DEARBORN, MI
NPI1710284872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704229984)
Enumeration Date2011-02-24
Last Update Date2022-07-21
Business Address
Mr. JOSE RAMIL LASALA ACNP-BC
18101 OAKWOOD BLVD
DEARBORN, MI 48124-4089
Phone number: 313-982-5440
Mailing Address
Mr. JOSE RAMIL LASALA ACNP-BC
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1863
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