Individual
MANDA SUE DISKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48522 44TH AVE, LAWRENCE, MI 49064-9057
(269) 830-1529
Mailing address
48522 44TH AVE, LAWRENCE, MI 49064-9057
(269) 830-1529
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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