PRUDENTIA WORTH

DETROIT, MI
NPI1780661504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704082904)
Enumeration Date2005-12-22
Last Update Date2007-07-08
Business Address
-- PRUDENTIA WORTH CRNA
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 952-442-9770
Mailing Address
-- PRUDENTIA WORTH CRNA
DEPT 203401 PO BOX 67000
DETROIT, MI 48267-0001
Phone number: 952-442-9770
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