Individual
DOLORES MARIE ANAYA-HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
(269) 553-7037
Mailing address
7443 KINGSTON DR, PORTAGE, MI 49002-4326
(269) 598-9491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704258231
MI
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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