Individual
KOREY GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(800) 748-3243
Mailing address
9127 GRAYTRAX RD, GRAND BLANC, MI 48439-8003
(810) 964-0992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704230602
MI
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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