Individual
FALON CONVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6390 WEATHERFORD CT, HOLLY, MI 48442-8436
(586) 596-4523
Mailing address
6390 WEATHERFORD CT, HOLLY, MI 48442-8436
(586) 596-4523
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704315458
MI
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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