Individual
ALEXANDRIA CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 JAMES AVE, MUSKEGON, MI 49442-2238
(906) 369-2659
Mailing address
1436 JAMES AVE, MUSKEGON, MI 49442-2238
(906) 369-2659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704339851
MI
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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