Individual
TERI KILLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 912-0030
Mailing address
14890 KEPPEN AVE, ALLEN PARK, MI 48101-2910
(734) 309-8109
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084913
MI
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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