Individual
COURTNEY LEIGH ROULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
5805 CEDAR LAKE RD, OSCODA, MI 48750-9499
(989) 739-1496
Mailing address
3525 N US23, OSCODA, MI 48750
(989) 739-1496
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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