Individual
MRS. BARBARA MASCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11203 S STATE RD, MORRICE, MI 48857-9724
(517) 625-6445
Mailing address
11203 S STATE RD, MORRICE, MI 48857-9724
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703009959
MI
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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