Individual
KIMBERLY SUE ROSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 E GRAND BLANC RD, GRAND BLANC, MI 48439-1359
(248) 736-7392
Mailing address
755 E GRAND BLANC RD, GRAND BLANC, MI 48439-1359
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703086374
MI
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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