KATELYN DE LARA

SOUTHFIELD, MI
NPI1902659253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4351052573)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-08
Last Update Date2024-10-02
Business Address
KATELYN DE LARA MD
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075-6213
Phone number: 248-849-3441
Mailing Address
KATELYN DE LARA MD
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075-6213
Phone number: