Individual
MISS TERRI ELIZABETH ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
31581 GRATIOT AVE, ROSEVILLE, MI 48066-4528
(586) 783-4802
(586) 783-4805
Mailing address
2908 ALGONQUIN ST, DETROIT, MI 48215-2435
(313) 468-2439
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703064832
MI
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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