FREDY MASONGSONG

SOUTHGATE, MI
NPI1972951200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704244001)
Enumeration Date2016-05-26
Last Update Date2020-11-17
Business Address
FREDY MASONGSONG
13667 EUREKA RD
SOUTHGATE, MI 48195-1332
Phone number: 734-530-6777
Mailing Address
FREDY MASONGSONG
PO BOX 746723
ATLANTA, GA 30374-6723
Phone number: 312-733-9730
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