CHRISTINA LYNN FORTINE

CLINTON TWP, MI
NPI1720834955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: MI  4704327707)
Enumeration Date2024-04-29
Last Update Date2025-04-14
Business Address
CHRISTINA LYNN FORTINE
15855 19 MILE RD
CLINTON TWP, MI 48038-3504
Phone number: 586-263-2978
Mailing Address
CHRISTINA LYNN FORTINE
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone number: 586-263-2978