Individual
REBECCA KAPOLNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12550 BURNS RD, CARLETON, MI 48117-9372
(734) 642-7287
Mailing address
12550 BURNS RD, CARLETON, MI 48117-9372
(734) 642-7287
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115099
MI
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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