Tristan B Livezey
NPI #1306668710 in White Lake, Michigan
Provider Information
- NPI Number
- 1306668710
- Entity Type
- Individual
- Name
- Tristan B Livezey
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Oct 28, 2024
- Last Updated
- Oct 28, 2024
Practice Location
- Address
- 4630 PASTURE LN
- City
- White Lake
- State
- Michigan
- ZIP Code
- 48383-1845
- Phone
- (248) 906-9412
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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