Individual
ALYSSA LAURA VANIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PRESQUE ISLE AVE, MARQUETTE, MI 49855-2818
(906) 227-1000
Mailing address
2414 CENTRAL AVE, SOUTH EL MONTE, CA 91733-2124
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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