Individual
ANGELA TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19006 ROCKPORT ST, ROSEVILLE, MI 48066-1363
(910) 797-3025
Mailing address
19006 ROCKPORT ST, ROSEVILLE, MI 48066-1363
(910) 797-3025
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112808
MI
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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