Individual
LUZ COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19640 FORT ST, APT. 103, RIVERVIEW, MI 48193-6789
(734) 799-7517
Mailing address
19640 FORT ST, APT. 103, RIVERVIEW, MI 48193-6789
(734) 799-7517
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
04/25/2016
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