Individual
ELIANA TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
27602 PARKVIEW BLVD APT 101, WARREN, MI 48092-2984
(517) 528-7113
Mailing address
27602 PARKVIEW BLVD APT 101, WARREN, MI 48092-2984
(517) 528-7113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704337248
MI
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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