Individual
AMANDA HALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N LOCUST ST, ADRIAN, MI 49221-2824
(517) 759-2198
Mailing address
223 N LOCUST ST, ADRIAN, MI 49221-2824
(517) 759-2198
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703096928
MI
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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