Individual
KATRINA LOUISE PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 222-4212
(734) 845-5301
Mailing address
1914 TANBARK CIR, JACKSON, MI 49203-1273
(517) 960-7405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703098496
MI
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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