Individual
VIBHA SREENIVASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1981 SOUTH BLVD W, TROY, MI 48098-1733
(248) 813-9581
Mailing address
3765 EVERETT DR, ROCHESTER HILLS, MI 48307-5066
(248) 804-7024
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
4704373161
MI
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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