SIRITHEPPHAVANH S OLIVER, CNP-AC
Nursing at John R St, Detroit, MI

License number
Michigan AP60518948
Category
Nursing
Type
Nurse Practitioner
License number
Michigan 4704324415
Category
Nursing
Type
Acute Care
Address
Address 2
4100 John R St, Detroit, MI 48201
1560 E Maple Rd Suite 400 - DEPARTMENT CREDENTIALING, Troy, MI 48083
Phone
(800) 527-6266
(313) 576-8486 (Fax)
National Provider ID: 1013299197
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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