Individual
BARBARA ELAINE SERVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2741 136TH AVE UNIT 227, HOPKINS, MI 49328-8521
(269) 598-2576
Mailing address
2741 136TH AVE UNIT 227, HOPKINS, MI 49328-8521
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703065803
MI
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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