Tory Deriso
NPI #1730573247 in Wixom, Michigan
Provider Information
- NPI Number
- 1730573247
- Entity Type
- Individual
- Name
- Tory Deriso
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 23, 2015
- Last Updated
- Mar 23, 2015
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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