Individual
MRS. JUANITA MARIE SIYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
1132 RIVER RD, MARYSVILLE, MI 48040-1579
(757) 753-0849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704308651
MI
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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