Individual
MIA ROSE GHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22030 LAHSER RD, SOUTHFIELD, MI 48033-4430
(248) 470-3564
Mailing address
22030 LAHSER RD, SOUTHFIELD, MI 48033-4430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704241365
MI
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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