Individual
JAN MARIE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4098 ADAMS ST, CUMMING, IA 50061-5609
(515) 981-5926
(515) 981-5934
Mailing address
2017 NW HICKORY LN, APT 12, ANKENY, IA 50023-1226
(515) 250-0814
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P12538
IA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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