Individual
EMILY LANE-WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HALL ST UNIT A, TRAVERSE CITY, MI 49684-2288
(231) 935-2031
Mailing address
835 HANNAH AVE, TRAVERSE CITY, MI 49686-3326
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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