Most Relevant Information
Provider Data
| NPI Number: | 1003207358 |
| Provider Name: | VARGHESE JOHN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703114386 |
Most Important Dates
| Enumeration Date: | 02/09/2015 |
| Last Updated: | 02/09/2015 |
Provider Practice Location
25813 SALEM ST
ROSEVILLE
MI
480665811
Practice Location Phone/Fax
| Phone: | 5862166356 |
| Fax: |
Provider Mailing Location
25813 SALEM ST
ROSEVILLE
MI
480665811
Provider Mailing Phone/Fax
| Phone: | 5862166356 |
| Fax: |