Individual
MRS. KATHRYN ANN VILLAL.P.N.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2850 S INDUSTRIAL HWY, SUITE 75, ANN ARBOR, MI 48104-6796
(734) 477-7298
Mailing address
2850 S INDUSTRIAL HWY, SUITE 75, ANN ARBOR, MI 48104-6796
(734) 477-7298
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703076539
MI
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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