Individual
ABIGAIL PRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4032 M 139, SAINT JOSEPH, MI 49085-8665
(269) 556-1256
Mailing address
1284 W MARQUETTE WOODS RD, SAINT JOSEPH, MI 49085-9717
(219) 575-8192
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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