Individual
MRS. ANGELA THERESE BURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64169 COUNTY ROAD 665, PAW PAW, MI 49079-9200
(269) 657-0076
Mailing address
64169 COUNTY ROAD 665, PAW PAW, MI 49079-9200
(269) 657-0076
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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