Individual
GRACE LOZADA QUIOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18223 E 10 MILE RD STE 100, ROSEVILLE, MI 48066-5821
(586) 778-5880
Mailing address
18223 E 10 MILE RD STE 100, ROSEVILLE, MI 48066-5821
(586) 778-5880
(586) 778-4362
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704244618
MI
363LF0000X
Family Nurse Practitioner
4704244618
MI
Other
Enumeration date
01/07/2020
Last updated
01/05/2025
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