Tory Deriso
Tory Deriso is a Licensed Practical Nurse in Wixom, Michigan. Licensed in Michigan. Registered with an NPI since 2015.
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
27026 Meadowood Dr Apt 204Wixom, MI 48393-3271
Phone: (248) 773-7687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703108814 (MI) |
|---|
Record details
| NPI number | 1730573247 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2015 |
| Last updated in NPPES | March 23, 2015 |
| Mailing address | 27026 Meadowood Dr Apt 204, Wixom, MI 48393-3271 |
Other providers in Wixom
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Tanicsha Draper
31121 Wildwood St, Wixom, MI 48393-2625 · (586) 350-1352
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Kim Hinzman
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-
Mrs. Felicia Marshall, LPN
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Diana Nchamukong
27034 Sprucewood Dr Apt 102, Wixom, MI 48393-3275 · (248) 790-5926