Individual
VANESSA OSANTOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1427 W 9 MILE RD, FERNDALE, MI 48220-1600
(989) 698-6227
Mailing address
1427 W 9 MILE RD, FERNDALE, MI 48220-1600
(989) 698-6227
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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