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Provider Information for 1568886984


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ALICIA UVETTE ROJAS


Sex: Female

NPI: 1568886984
Last Updated: 2023-01-20
Certification Date: 2023-01-20

Details

NameValue
NPI1568886984
Enumeration Date2014-02-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 376 E APPLE AVE
MUSKEGON, MI 49442-3466
United States

Phone: 231-724-1363 | Fax:231-724-4188
 
Primary Practice Address 376 E APPLE AVE
MUSKEGON, MI 49442-3466
United States

Phone: 231-724-1363 | Fax:231-724-4188
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalMI6401013452