Individual
MRS. REBECCA L CRITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2766 W 11 MILE RD, BERKLEY, MI 48072-3033
(248) 542-2424
Mailing address
PO BOX 721154, BERKLEY, MI 48072-0154
(248) 542-2424
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703047968
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703047968
LPN LICENSE
MI
Enumeration date
12/17/2013
Last updated
07/08/2016
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