Most Relevant Information
Provider Data
| NPI Number: | 1003490574 |
| Provider Name: | ASHLEY NICHOLE DABABNEH DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2021 |
| Last Updated: | 05/10/2021 |
Provider Practice Location
3031 W GRAND BLVD STE 600
DETROIT
MI
482023014
Practice Location Phone/Fax
| Phone: | 3133465235 |
| Fax: |
Provider Mailing Location
5840 ORMOND RD
WHITE LAKE
MI
483831046
Provider Mailing Phone/Fax
| Phone: | 2489778372 |
| Fax: |