Individual
MRS. KIMBERLY ALAYNE PAVLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
38777 6 MILE RD, SUITE 209, LIVONIA, MI 48152-2694
(888) 414-7056
Mailing address
PO BOX 466, PLAINWELL, MI 49080-0466
(269) 268-0167
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
120834
MI
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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