Jusema Fantillo

NPI #1114654779 in Detroit, Michigan

Provider Information

NPI Number
1114654779
Entity Type
Individual
Name
Jusema Fantillo
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Gerontology
Enumeration Date
Aug 4, 2022
Last Updated
Aug 4, 2022

Practice Location

Address
4646 JOHN R ST
ZIP Code
48201-1916
Phone
(313) 576-4242

Specialties & Taxonomy Codes

Specialty
Registered Nurse - GerontologyGerontology

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