Organization
HOMETOWN PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNN AARON NP (BUSINESS OWNER)
(810) 610-7125
Entity
Organization
Contact information
Practice address
9112 N LINDEN RD, CLIO, MI 48420-8524
(810) 610-7125
Mailing address
9112 N LINDEN RD, CLIO, MI 48420-8524
(810) 610-7125
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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