Individual
JOSE MALABANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 HEDGEWOOD DR, MIDLAND, MI 48640-1928
(989) 631-9670
Mailing address
4900 HEDGEWOOD DR, MIDLAND, MI 48640-1928
(989) 631-9670
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5501009764
MI
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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