Individual
MS. MARSHA JEANETTE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2400 ROBINSON RD, LANSING, MI 48910-4860
(517) 285-6193
(517) 393-9201
Mailing address
PO BOX 27302, LANSING, MI 48909-7302
(517) 285-6193
(517) 393-5547
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703061419
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10 0004361092
—
MI
Enumeration date
08/26/2007
Last updated
10/30/2008
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