Individual
DIANE TEENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 ROANOKE LN, ROCHESTER HILLS, MI 48309-1424
(248) 807-9445
Mailing address
97 ROANOKE LN, ROCHESTER HILLS, MI 48309-1424
(248) 807-9445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704210326
MI
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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