Individual
CORNEST HORNESBRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28000 W CHICAGO ST, LIVONIA, MI 48150-3272
(601) 416-4486
Mailing address
28000 W. CHICAGO, LIVONIA, MI 48150
(601) 416-4486
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115967
MI
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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