Individual
MRS. KENDALL ROSE GJETAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 E LONG LAKE RD, TROY, MI 48085-5524
(248) 828-7500
Mailing address
2674 W JEFFERSON AVE, STE 100, TRENTON, MI 48183-2800
(313) 483-3262
(734) 642-9202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008283
MI
Other
Enumeration date
06/26/2017
Last updated
01/29/2020
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