Individual
BARBARA CAROL SUDOMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 300-3610
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704190840
MI
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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