Individual
SHAREN LEE SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
46949 PILGRIM RD, HOUGHTON, MI 49931-9030
(906) 482-0952
Mailing address
46949 PILGRIM RD, HOUGHTON, MI 49931-9030
(906) 482-0952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704209640
MI
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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