Individual
CARLA MARIE KOCSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 MIDLAND BLVD, ROYAL OAK, MI 48073
(313) 778-2672
Mailing address
223 MIDLAND BLVD, ROYAL OAK, MI 48073
(313) 778-2672
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114281
MI
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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