Individual
CAITLIN ELIZABETH BLUMHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2087 S FORMAN RD, BALDWIN, MI 49304-9533
(517) 442-7172
Mailing address
2087 S FORMAN RD, BALDWIN, MI 49304-9533
(517) 442-7172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112094
MI
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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