Individual
AILEEN MARIE MYERS MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6509 WEBER DR, MANITOU BEACH, MI 49253-9749
(517) 252-5282
Mailing address
6509 WEBER DR, MANITOU BEACH, MI 49253-9749
(517) 252-5282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704233885
MI
Other
Enumeration date
01/25/2011
Last updated
04/30/2012
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