Individual
MS. ROSLEE ELLEN UREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22394 BUCKINGHAM DR, FARMINGTON HILLS, MI 48335-5429
(248) 516-4335
Mailing address
22394 BUCKINGHAM DR, FARMINGTON HILLS, MI 48335-5429
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
—
—
132700000X
Dietary Manager
—
—
146L00000X
Paramedic
—
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1076112001
—
ME
Enumeration date
06/02/2018
Last updated
06/02/2018
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