Individual
PAULA SIRBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6450 MOON LAKE RD, JACKSON, MI 49201-8515
(517) 250-6060
Mailing address
6450 MOON LAKE RD, JACKSON, MI 49201-8515
(517) 250-6060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703052586
MI
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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