Individual
NICOLE MARIE HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 S VANDER MEULEN RD, LAKE CITY, MI 49651-8717
(231) 839-0074
(231) 839-0252
Mailing address
519 S VANDER MEULEN RD, LAKE CITY, MI 49651-8717
(231) 839-0074
(231) 839-0252
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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