Individual
JOY POMEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
(877) 398-2013
Mailing address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
(877) 398-2013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704191476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704191476
STATE OF MICHIGAN
MI
Enumeration date
04/17/2014
Last updated
04/17/2014
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