Individual provider · Type 1 NPI

Maryo Ibrahim

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1255078366 Active

Practice location

4201 Saint Antoine St Ste 8D
Detroit, MI 48201-2153

Call (313) 577-1245 Map

Mailing address

1904 Meharry Blvd
Nashville, TN 37208-2900

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255078366

Maryo Ibrahim's National Provider Identifier is 1255078366, issued on May 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on May 19, 2022.