Individual provider · NPI-1

Rose A Belknap, optician

Technician/Technologist, Optician · Detroit, MI

NPI number1629324637
StatusActive
Last updated in NPPESJul 27, 2012

Details

NPI
1629324637
Entity type
Individual (NPI-1)
Name
Ms. Rose A Belknap
Credential
optician
Sex
Female
Sole proprietor
No
Enumeration date
Jul 27, 2012
Last updated
Jul 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

4201 Saint Antoine St
C/O Health Center Optical
Detroit, MI 48201-2153

Phone 313-745-4750 · Fax 313-745-4749

Mailing address

4201 Saint Antoine St
C/O Health Center Optical
Detroit, MI 48201-2153

Phone 313-745-4750 · Fax 313-745-4749

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