Individual
MS. CARLA G IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4986 N ADAMS RD, ROCHESTER, MI 48306-5017
(248) 310-8476
Mailing address
4986 N ADAMS RD, ROCHESTER, MI 48306-5017
(248) 310-8476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704120500
MI
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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