person
Maryo Ibrahim
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1255078366

Maryo Ibrahim is a Student in an Organized Health Care Education/Training Program based in Nashville, MI. Maryo Ibrahim practices in Detroit, MI. The NPI Number for Maryo Ibrahim is 1255078366 and holds a License No. (Michigan).

The current practice location address for Maryo Ibrahim is 4201 Saint Antoine St Ste 8D, Detroit, MI and can be reached out via phone at 313-577-1245.

Location: 4201 Saint Antoine St Ste 8D, Detroit, MI, 37208-2900
person
Provider Profile Details
NPI Number
1255078366
Provider Name
Maryo Ibrahim
Credential
Provider Entity Type
Individual
Gender
Male
Address
4201 Saint Antoine St Ste 8D, Detroit, MI, 37208-2900
Phone Number
313-577-1245
Fax Number
Provider Enumeration Date
05/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4201 Saint Antoine St Ste 8D
City
State
Zip
48201-2153
Phone Number
313-577-1245
Fax Number
person
Provider Business Mailing Address Details
Address
4201 Saint Antoine St Ste 8D
City
State
Zip
48201-2153
Phone Number
313-577-1245
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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