Individual
VIAN KOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 905, SOUTHFIELD, MI 48037-0905
(248) 234-8617
Mailing address
PO BOX 905, SOUTHFIELD, MI 48037-0905
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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