Individual
DIANE DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 S EAST ST, HASTINGS, MI 49058-2309
(269) 320-3599
Mailing address
707 S EAST ST, HASTINGS, MI 49058-2309
(269) 320-3599
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703100794
MI
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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