Individual
SANDRA GIAMMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
(906) 341-2144
Mailing address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
SG231286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509104120
BCBS
MI
Enumeration date
10/12/2006
Last updated
07/08/2007
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