Individual
ROBERTA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19048 STONEWOOD, RIVERVIEW, MI 48193
(734) 775-6320
Mailing address
19048 STONEWOOD, RIVERVIEW, MI 48193
(734) 775-6320
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103762
MI
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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