Individual
DR. JOSEPHINE M KAMENDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP -C
Contact information
Practice address
4071 24TH AVE, FORT GRATIOT, MI 48059-3801
(810) 824-4222
Mailing address
6141 STATE RD, BURTCHVILLE, MI 48059-2420
(810) 874-6116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704239237NSA18322
MI
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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