Individual
MAUREEN BRIDGID DALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6110 W WILLOW HWY, LANSING, MI 48917-1215
(517) 321-7248
(517) 321-4493
Mailing address
PO BOX 80586, LANSING, MI 48908-0586
(517) 321-7248
(517) 321-4493
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704175780
MI
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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