Individual
VIVIAN MARIE HULSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6861 12 MILE RD, BURLINGTON, MI 49029-9755
(269) 578-6081
Mailing address
6861 12 MILE RD, BURLINGTON, MI 49029-9755
(269) 578-6081
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703078187
MI
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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