Individual
CHARLENE ELIZABETH TRIPLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2300
(734) 394-4500
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084976
MI
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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