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Kristen Formosa
NPI 1275985772 · on the registry since 2016
Practice
- Address
- 4440 Lapham St
Dearborn, MI 48126 - Phone
- (313) 969-6210
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan