Individual
MARY RISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
13101 ALLEN RD BLDG 4, SOUTHGATE, MI 48195-2216
(734) 787-3571
Mailing address
39064 BUCKINGHAM DR, ROMULUS, MI 48174-6324
(734) 672-8451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704296655
MI
Other
Enumeration date
08/05/2024
Last updated
08/07/2024
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