Individual
LINDA SUSAN KANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
13396 HYDE RD, HARTLAND, MI 48353-3210
(248) 887-8083
Mailing address
13396 HYDE RD, HARTLAND, MI 48353-3210
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704154488
MI
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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