Individual
ROXANNE MARIE BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
15553 BARBER CREEK AVE, KENT CITY, MI 49330-9075
(616) 329-1389
Mailing address
15553 BARBER CREEK AVE, KENT CITY, MI 49330-9075
(616) 329-1389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002050
MI
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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