Individual
MS. DONNA MARIE HANTULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2301 E MICHIGAN AVE, JACKSON, MI 49202-3700
(517) 783-3434
(517) 782-6446
Mailing address
2301 E MICHIGAN AVE, JACKSON, MI 49202-3700
(517) 745-4812
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704233408
MI
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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