Individual
JOSEPHINE IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
204 W STATE ST, MONTROSE, MI 48457
(810) 639-5411
Mailing address
204 W STATE ST, PO BOX 3038, MONTROSE, MI 48457
(810) 639-5411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109320
MI
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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