Individual
VICKIE LEE HADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 CHENEY ST, IMLAY CITY, MI 48444-1448
(810) 721-7122
Mailing address
401 CHENEY ST, IMLAY CITY, MI 48444-1448
(810) 721-7122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703089630
MI
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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