Provider Information for 1447733761
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SELENE NEGRETTE
Sex: Female
NPI: 1447733761
Last Updated: 2024-05-31
Certification Date: 2024-05-31
Certification Date: 2024-05-31
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447733761 | ||||||||
| Enumeration Date | 2018-09-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1526 LONG MEADOW TRL ANN ARBOR, MI 48108-8907 United States Phone: 859-797-3919 | Fax: | ||||||||
| Primary Practice Address | 204 E WASHINGTON ST ANN ARBOR, MI 48104-2008 United States Phone: 734-478-7358 | Fax:734-436-4994 | ||||||||
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