Individual
LEANN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 RATHBONE ST, MOUNT CLEMENS, MI 48043-5957
(989) 387-4870
Mailing address
170 W ROSE CITY RD, ROSE CITY, MI 48654-9722
(989) 387-4870
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112374
MI
Other
Enumeration date
07/25/2015
Last updated
09/18/2020
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