Individual
ALLESE RASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19712 ROSEDALE ST, SAINT CLAIR SHORES, MI 48080-3386
(586) 879-9731
Mailing address
19712 ROSEDALE ST, SAINT CLAIR SHORES, MI 48080-3386
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703127121
MI
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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