Individual
SANTANA UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 RANDY CT, FLINT, MI 48505-2523
(810) 308-4929
Mailing address
1510 RANDY CT, FLINT, MI 48505-2523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23550015895925
MI
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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