Individual
FATIMA MABALOT CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1728 S PENINSULA RD, EAST JORDAN, MI 49727-9410
(231) 536-2286
Mailing address
271 PARKVIEW DR, KINGSLEY, MI 49649-9479
(907) 738-3173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704361503
MI
363L00000X
Nurse Practitioner
Primary
4704361503
MI
Other
Enumeration date
05/21/2021
Last updated
07/31/2024
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