Individual
TAMMY ROZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
9075 MORTENVIEW DR, TAYLOR, MI 48180-2807
(734) 255-7761
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703119442
MI
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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