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Laquitta Tyisha Bosley
Technician/Technologist in Southgate, Michigan
NPI 1730857228

Laquitta Tyisha Bosley is a Technician/Technologist based in Southgate, MI. Laquitta Tyisha Bosley practices in Southgate, MI. The NPI Number for Laquitta Tyisha Bosley is 1730857228 and holds a License No. (Michigan).

The current practice location address for Laquitta Tyisha Bosley is 1 Heritage Dr Ste 100, Southgate, MI and can be reached out via phone at 734-767-2250.

Location: 1 Heritage Dr Ste 100, Southgate, MI, 48195-3047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730857228
Provider Name
Laquitta Tyisha Bosley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Heritage Dr Ste 100, Southgate, MI, 48195-3047
Phone Number
734-767-2250
Fax Number
Provider Enumeration Date
08/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Heritage Dr Ste 100
City
Southgate
State
Michigan
Zip
48195-3047
Phone Number
734-767-2250
Fax Number
person
Provider Business Mailing Address Details
Address
1 Heritage Dr Ste 100
City
Southgate
State
Michigan
Zip
48195-3047
Phone Number
734-767-2250
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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