Individual provider · Type 1 NPI
Kristen Ann Formosa
Other Technician · Dearborn, MI
NPI number
1275985772
Active
Practice location
4440 Lapham St
Dearborn, MI 48126-3473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | 6801095545 (MI) |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1275985772
Kristen Ann Formosa's National Provider Identifier is 1275985772, issued on Jul 7, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Dearborn, MI. The record was last updated on Jul 7, 2016.