Individual
MAUREEN ALICE CASTAGNASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
35441 66TH AVE, PAW PAW, MI 49079-9223
(269) 330-0816
Mailing address
35441 66TH AVE, PAW PAW, MI 49079-9223
(269) 330-0816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703098061
MI
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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