Individual
KRISTA PALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1355 BOGUE ST, EAST LANSING, MI 48824-6207
(517) 355-1855
Mailing address
2495 MANCHESTER RD, BIRMINGHAM, MI 48009-5896
(248) 953-9067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704357990
MI
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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