Individual
ERIN MARIE COSENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 VENICE ST, DEARBORN, MI 48124-4064
(313) 689-7710
Mailing address
1520 VENICE ST, DEARBORN, MI 48124-4064
(313) 689-7710
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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