TORY DERISO

Licensed Practical Nurse

NPI: 1730573247Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

4703108814(MI)

Contact & Hours

Address: 27026 MEADOWOOD DR APT 204
WIXOM, MI 48393
Phone: (248) 773-7687

Quick Facts

NPI: 1730573247
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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