Individual
DEANNA L MISTRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
4740 W BUTTERFIELD HWY APT 3, OLIVET, MI 49076-9416
(610) 657-9323
Mailing address
4740 W BUTTERFIELD HWY APT 3, OLIVET, MI 49076-9416
(610) 657-9323
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115548
MI
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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