Individual
MELODY SPROWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1020 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1166
(269) 344-4458
Mailing address
379 LAKE RIDGE DR, KALAMAZOO, MI 49006-8308
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703086814
MI
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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