Individual
LAURIE DAZAROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-3762
Mailing address
21 SLATESTONE DR, SAGINAW, MI 48603-2890
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704117485
MI
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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