Individual
MARIE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9731 COLUMBIA AVE, CLARKSTON, MI 48348-3107
(810) 931-9971
Mailing address
9731 COLUMBIA AVE, CLARKSTON, MI 48348-3107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704271130
MI
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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