Individual
ELIZABETH KASUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25792 BRIDGEWOOD LN APT 75, FLAT ROCK, MI 48134-1030
(734) 231-4057
Mailing address
25792 BRIDGEWOOD LN APT 75, FLAT ROCK, MI 48134-1030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115080
MI
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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