Individual
KATHRYN CHRISTIANA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 N DIVISION AVE, HESPERIA, MI 49421-7500
(231) 854-6605
Mailing address
9136 S REDWOOD DR, NEWAYGO, MI 49337-8813
(231) 590-6865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413035
MI
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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