Individual
LUSILDA AGOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4986 N ADAMS RD, SUITE D, ROCHESTER, MI 48306-5017
(248) 475-4720
Mailing address
4986 N ADAMS RD, SUITE D, ROCHESTER, MI 48306-5017
(248) 475-4720
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172V00000X
CHW
—
Enumeration date
03/20/2017
Last updated
03/20/2017
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