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Moleca Mahmoud Ghannam
Student in an Organized Health Care Education/Training Program in Canton, Michigan
NPI 1962067157

Moleca Mahmoud Ghannam is a Student in an Organized Health Care Education/Training Program based in Canton, MI. Moleca Mahmoud Ghannam practices in Canton, MI. The NPI Number for Moleca Mahmoud Ghannam is 1962067157 and holds a License No. (Michigan).

The current practice location address for Moleca Mahmoud Ghannam is 49918 Hancock St, Canton, MI and can be reached out via phone at 734-985-5746.

Location: 49918 Hancock St, Canton, MI, 48188-6660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962067157
Provider Name
Moleca Mahmoud Ghannam
Credential
Provider Entity Type
Individual
Gender
Female
Address
49918 Hancock St, Canton, MI, 48188-6660
Phone Number
734-985-5746
Fax Number
Provider Enumeration Date
05/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
49918 Hancock St
City
Canton
State
Michigan
Zip
48188-6660
Phone Number
734-985-5746
Fax Number
person
Provider Business Mailing Address Details
Address
49918 Hancock St
City
Canton
State
Michigan
Zip
48188-6660
Phone Number
734-985-5746
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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