person
Dominique Bumanglag Sullano
Psychiatric/Mental Health Registered Nurse in Detroit, Michigan
NPI 1265142384

Dominique Bumanglag Sullano is a Psychiatric/Mental Health Registered Nurse based in Detroit, MI and is specialized in Psychiatric/Mental Health. Dominique Bumanglag Sullano practices in Detroit, MI. The NPI Number for Dominique Bumanglag Sullano is 1265142384 and holds a License No. 4704204783 (Michigan).

The current practice location address for Dominique Bumanglag Sullano is 707 W Milwaukee St, Detroit, MI and can be reached out via phone at 248-817-7597. You can also correspond with Dominique Bumanglag Sullano through the mailing address at 707 W MILWAUKEE ST, DETROIT, MI - 48202-2943 (mailing address contact number: 248-817-7597).

Location: 707 W Milwaukee St, Detroit, MI, 48202-2943
person
Provider Profile Details
NPI Number
1265142384
Provider Name
Dominique Bumanglag Sullano
Credential
Provider Entity Type
Individual
Gender
Female
Address
707 W Milwaukee St, Detroit, MI, 48202-2943
Phone Number
248-817-7597
Fax Number
Provider Enumeration Date
11/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 W Milwaukee St
City
State
Zip
48202-2943
Phone Number
248-817-7597
Fax Number
person
Provider Business Mailing Address Details
Address
707 W Milwaukee St
City
State
Zip
48202-2943
Phone Number
248-817-7597
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
4704204783 (Michigan)
Definition
Definition to come...
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