Individual
JOYCE O'KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 E SANILAC RD, SANDUSKY, MI 48471-1160
(810) 648-0330
Mailing address
227 E SANILAC RD, SANDUSKY, MI 48471-1160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704211670
MI
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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