SearchMichigan374J00000X

Antoinette Bowen-Debardelaben

NPI 1861223398 · on the registry since 2024 · sole proprietor

Practice

Address
18600 San Juan Dr
Detroit, MI 48221
Phone
(470) 416-2381

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan