Organization
MITELECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA L ALLEN (OWNER)
(989) 464-0508
Entity
Organization
Contact information
Practice address
7222 SMITH RD, ALPENA, MI 49707-9519
(989) 464-0508
Mailing address
7222 SMITH RD, ALPENA, MI 49707-9519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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