Most Relevant Information
Provider Data
| NPI Number: | 1003017716 |
| Provider Name: | CONSTANCE LAROSA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704084011 |
Most Important Dates
| Enumeration Date: | 05/30/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2215 FULLER RD
ANN ARBOR
MI
481052335
Practice Location Phone/Fax
| Phone: | 7347697100 |
| Fax: | 7342133864 |
Provider Mailing Location
2215 FULLER RD
ANN ARBOR
MI
481052335
Provider Mailing Phone/Fax
| Phone: | 7347697100 |
| Fax: | 7342133864 |