Individual
TATIANA ALEOBUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9012 MARION CRES, REDFORD, MI 48239-1735
(734) 642-8068
Mailing address
9012 MARION CRES, REDFORD, MI 48239-1735
(734) 642-8068
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114578
MI
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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