Individual
ANGELA ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1200 N TELEGRAPH RD BLDG 32, PONTIAC, MI 48341-1032
(248) 451-3522
Mailing address
1200 N TELEGRAPH RD BLDG 32, PONTIAC, MI 48341-1032
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703079688
MI
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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