Individual
SUZANNE THEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13226 WALTER AVE, WARREN, MI 48088-8520
(586) 214-1301
Mailing address
13226 WALTER AVE, WARREN, MI 48088-8520
(586) 214-1301
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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