Individual
TAMMIE BOZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 KELSEY AVE, LANSING, MI 48910-2502
(517) 202-1968
Mailing address
1116 KELSEY AVE, LANSING, MI 48910-2502
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4704147941
MI
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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