Individual
KATHERINE GARDUNO-KLYNSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3500 N ELM AVE, JACKSON, MI 49201-8887
(517) 780-5006
Mailing address
3500 N ELM AVE, JACKSON, MI 49201-8887
(517) 780-5006
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704268823
MI
Other
Enumeration date
09/29/2015
Last updated
07/10/2016
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