Individual
HEATHER DOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 STARKWEATHER ST, PLYMOUTH, MI 48170-1331
(734) 751-7515
Mailing address
451 STARKWEATHER ST, PLYMOUTH, MI 48170-1331
(734) 751-7515
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122557
MI
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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