Individual
MRS. AMY TIESHA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13510 E STATE FAIR ST, DETROIT, MI 48205-1720
(313) 848-9902
Mailing address
16920 KINGSBROOKE DR, CLINTON TOWNSHIP, MI 48038-3716
(313) 848-9902
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
22-147
MI
Other
Enumeration date
02/13/2025
Last updated
02/15/2025
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