FAIRY QUEEN ENRIQUEZ SIEKIERKA

DETROIT, MI
NPI1932985322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704328579)
Enumeration Date2023-09-01
Last Update Date2024-11-06
Business Address
FAIRY QUEEN ENRIQUEZ SIEKIERKA AGACNP-BC
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-5111
Mailing Address
FAIRY QUEEN ENRIQUEZ SIEKIERKA AGACNP-BC
20334 OPORTO AVE
LIVONIA, MI 48152-1891
Phone number: 248-378-0172
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