Yaxsaira Pietri

Individual provider Active NPI Other Technician · River Rouge, MI

NPI 1275901696 · NPPES record last updated Sep 2, 2015

Key facts

NPI
1275901696
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
539 Polk Ave
River Rouge, MI 48218-1034
Phone
(313) 957-8597
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

539 Polk Ave
River Rouge, MI 48218-1034

Mailing address

539 Polk Ave
River Rouge, MI 48218-1034
Phone (313) 957-8597

Other providers in River Rouge, MI

All providers in River Rouge, MI · Other Technician in Michigan

Sources for this page

Verify at the official NPI Registry.