Individual
OLVIYA KINDRATYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 N HURON ST, YPSILANTI, MI 48197-2842
(734) 480-0125
Mailing address
300 N HURON ST, YPSILANTI, MI 48197-2842
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112547
MI
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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