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Individual

KERTIA LIBRETTO BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
27725 RAINBOW CIR, LATHRUP VILLAGE, MI 48076-3238
(248) 910-7018
(248) 557-5409
Mailing address
27725 RAINBOW CIR, LATHRUP VILLAGE, MI 48076-3238
(248) 910-7018
(248) 557-5409

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301061932
MI

Other

Enumeration date
06/01/2006
Last updated
06/22/2020
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