| Tory Deriso, | |
|
27026 Meadowood Dr Apt 204, Wixom, MI 48393-3271 | |
| (248) 773-7687 | |
| Not Available |
| Full Name | Tory Deriso |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 27026 Meadowood Dr Apt 204, Wixom, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730573247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703108814 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tory Deriso, 27026 Meadowood Dr Apt 204, Wixom, MI 48393-3271 Ph: (248) 773-7687 | Tory Deriso, 27026 Meadowood Dr Apt 204, Wixom, MI 48393-3271 Ph: (248) 773-7687 |
Omaka Mokambe, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 47915 Thornwood St Apt 11103, Wixom, MI 48393 Phone: 248-790-5926 | |
Diana Nchamukong, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 27034 Sprucewood Dr Apt 102, Wixom, MI 48393 Phone: 248-790-5926 | |
Renee Schultz, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2090 Devonshire Dr, Wixom, MI 48393 Phone: 248-425-9245 | |
Maureen Ogbu, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 30941 Tamarack St Apt 32202, Wixom, MI 48393 Phone: 313-641-1220 | |
Elvira Shani, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 31161 Wildwood St Apt 6209, Wixom, MI 48393 Phone: 586-843-6823 | |
Mrs. Felicia Marshall, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 30830 Stone Ridge Dr, Apt 6116, Wixom, MI 48393 Phone: 248-469-9395 |