Individual
BERNADETA LIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 OXFORD CT, ROCHESTER HILLS, MI 48307-4527
(248) 909-8840
Mailing address
520 OXFORD CT, ROCHESTER HILLS, MI 48307-4527
(248) 909-8840
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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