Individual
VICENTE IGUIDEZ KAW II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5326
(248) 299-0030
Mailing address
203 ARBOR ST, ALLEGAN, MI 49010-1408
(269) 288-2603
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703108356
MI
Other
Enumeration date
05/31/2018
Last updated
12/25/2018
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