Individual
CHRISTINE ANN-AVERY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11615 HARTEL RD, SUITE 108, GRAND LEDGE, MI 48837-9165
(517) 627-3281
(517) 627-8722
Mailing address
11615 HARTEL RD, SUITE 108, GRAND LEDGE, MI 48837-9165
(517) 627-3281
(517) 627-8722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704162158
MI
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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