Individual
MRS. YVETTE CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 S 5TH AVE, ALPENA, MI 49707-3117
(989) 358-0264
Mailing address
1011 S 5TH AVE, ALPENA, MI 49707-3117
(989) 358-0264
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247200000X
247200000X/TECHNICIAN
MI
Enumeration date
04/28/2016
Last updated
04/28/2016
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