Individual
MS. DONNA LA JEAN COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
33101 ANNAPOLIS ST, SUITE B, WAYNE, MI 48184-2405
(734) 721-0200
(737) 721-2008
Mailing address
26037 S RIVER PARK DR, INKSTER, MI 48141-1962
(313) 792-8767
(313) 792-8767
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704138249
MI
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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