Individual
ROSHAUNDA LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
453 LINDA VISTA DR, PONTIAC, MI 48342-1745
(248) 461-7454
Mailing address
453 LINDA VISTA DR, PONTIAC, MI 48342-1745
(248) 461-7454
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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