Individual
NICOLE STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23200 RED ARROW HWY, MATTAWAN, MI 49071-7774
(269) 668-6715
Mailing address
3801 WINCHELL AVE, P311, KALAMAZOO, MI 49008-2038
(530) 276-3522
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902017987
MI
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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