Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 4301083629 | MI |
NPI | 1265648711 |
---|---|
Provider Name | Roselyn Ligacion Dela Cruz |
First Address | Rochester Hills, MI 48307-6122 |
Second Address | Rochester Hills, MI 48307-6122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 16/03/2015 |