Individual
LISA SLOOTMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4007 HESS ST, NORTON SHORES, MI 49444-3971
(231) 286-6275
Mailing address
4007 HESS ST, NORTON SHORES, MI 49444-3971
(231) 286-6275
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703090020
MI
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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