Individual
ELIZABETH SALLY HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
405 OAK ST, HARTFORD, MI 49057-1339
(269) 993-7281
Mailing address
405 OAK ST, HARTFORD, MI 49057-1339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703050500
MI
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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