Individual
ARDENA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8174 KENSINGTON BLVD APT 802, DAVISON, MI 48423-3170
(419) 870-9018
Mailing address
8174 KENSINGTON BLVD APT 802, DAVISON, MI 48423-3170
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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