Individual
MISS CEDRELA KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8033 E 10 MILE RD, CENTER LINE, MI 48015-1427
(586) 756-6661
(586) 756-6933
Mailing address
8728 RIDGE HWY, BRITTON, MI 49229-9568
(517) 442-9599
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703104867
MI
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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