Individual
LAUREL DAWN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7470 BROCKWAY RD, BROCKWAY, MI 48097-3458
(810) 387-3211
Mailing address
7470 BROCKWAY RD, BROCKWAY, MI 48097-3458
(810) 387-3211
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1231631
FL
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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