Individual
MS. LAURA ELIZABETH VIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(866) 501-3627
(313) 343-8724
Mailing address
2770 UPPER RIDGE DR APT 11, ROCHESTER HILLS, MI 48307-4480
(813) 600-0711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002098
MI
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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