Most Relevant Information
Provider Data
| NPI Number: | 1003237033 |
| Provider Name: | REBECCA L CRITZER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703047968 |
Most Important Dates
| Enumeration Date: | 12/17/2013 |
| Last Updated: | 07/08/2016 |
Provider Practice Location
2766 W 11 MILE RD
BERKLEY
MI
480723033
Practice Location Phone/Fax
| Phone: | 2485422424 |
| Fax: |
Provider Mailing Location
PO BOX 721154
BERKLEY
MI
480720154
Provider Mailing Phone/Fax
| Phone: | 2485422424 |
| Fax: |