Jusema Fantillo
Jusema Fantillo is a Gerontology Registered Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
4646 John R StDetroit, MI 48201-1916
Phone: (313) 576-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Registered Nurse (primary) | Taxonomy 163WG0600X · Licence 4704301171 (MI) |
|---|
Record details
| NPI number | 1114654779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 4, 2022 |
| Last updated in NPPES | August 4, 2022 |
| Certification date | August 4, 2022 |
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