Individual
DONNA RAE KRAJACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54711 CHICKASAW DR, MACOMB, MI 48042-2216
(586) 322-8246
Mailing address
54711 CHICKASAW DR, MACOMB, MI 48042-2216
(586) 322-8246
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110358
MI
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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