NPI | 1891147187 |
---|---|
Former Name | ANJA M KOSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901021945) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2023-06-18 |