Individual
JOSIE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 WHEELER STREET, TAWAS, MI 48763
(989) 254-5414
Mailing address
127 WHEELER STREET, TAWAS, MI 48763
(989) 254-5414
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S630440549927
MI
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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