Individual
CHARLOTTE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5437
Mailing address
9708 N RIVER RD, #11, CLAY, MI 48001-4556
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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