Individual
MICHELLE DIRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CBIS
Contact information
Practice address
41651 W 11 MILE RD, NOVI, MI 48375-1804
(248) 299-0030
Mailing address
8630 CHILSON RD, BRIGHTON, MI 48116-9116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704289998
MI
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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