Individual
JAIME KANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 WRIGHT ST, MARQUETTE, MI 49855-1955
(906) 228-7611
Mailing address
97 S 4TH ST, ISHPEMING, MI 49849-2168
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703091584
MI
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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