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Keoviengkhone Merina Hakvongsa, NP
Family Nurse Practitioner in Detroit, Michigan
NPI 1992804660

Keoviengkhone Merina Hakvongsa is a Family Nurse Practitioner based in Shelby Township, MI and is specialized in Family. Keoviengkhone Merina Hakvongsa practices in Detroit, MI and has the professional credentials of NP. The NPI Number for Keoviengkhone Merina Hakvongsa is 1992804660 and holds a License No. 4704212195 (Michigan).

The current practice location address for Keoviengkhone Merina Hakvongsa is 22201 Moross Rd, Detroit, MI and can be reached out via phone at 586-247-4300 and via fax at 586-532-6496.

Location: 22201 Moross Rd, Detroit, MI, 48315-6033
person
Provider Profile Details
NPI Number
1992804660
Provider Name
Keoviengkhone Merina Hakvongsa
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
22201 Moross Rd, Detroit, MI, 48315-6033
Phone Number
586-247-4300
Fax Number
586-532-6496
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
22201 Moross Rd
City
State
Zip
48236-2169
Phone Number
586-247-4300
Fax Number
586-532-6496
person
Provider Business Mailing Address Details
Address
22201 Moross Rd
City
State
Zip
48236-2169
Phone Number
586-247-4300
Fax Number
586-532-6496
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704212195 (Michigan)
Definition
Definition to come...
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