Individual
LATRICIA OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94060E. PICKWICK CIRCLE, TAYLOR, MI 48180
(313) 413-2463
Mailing address
94060E. PICKWICK CIRCLE, TAYLOR, MI 48180
(313) 413-2463
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109894
MI
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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