Individual
ALIESA DEGEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W BENNINGTON RD, OWOSSO, MI 48867-9750
(989) 640-5677
Mailing address
120 W BENNINGTON RD, OWOSSO, MI 48867-9750
(989) 640-5677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103149
MI
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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