Individual
MRS. MITZI PALMER IV
Active
Individual
MRS. MITZI PALMER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230388821298
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PROVIDER ID #4036
CMH/ NORTHERN HEALTHCARE MGT
MI
Enumeration date
12/02/2008
Last updated
12/02/2008
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