Individual
MRS. LYNELLE ROSARIO GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
1589 WESTFIELD RD, TRENTON, MI 48183-1861
(734) 626-0712
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
4704202977
MI
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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