Maryo Ibrahim
Maryo Ibrahim is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4201 Saint Antoine St Ste 8DDetroit, MI 48201-2153
Phone: (313) 577-1245
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1255078366 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 19, 2022 |
| Last updated in NPPES | May 19, 2022 |
| Certification date | May 19, 2022 |
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