Individual
JUDITH TROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ORCHARD TRL, BURTCHVILLE, MI 48059-3656
(810) 841-6564
Mailing address
111 ORCHARD TRL, BURTCHVILLE, MI 48059-3656
(810) 841-6564
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703095155
MI
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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