Individual
MARIA MARISOL-MIRANDA NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
Mailing address
4205 COLLEGIATE WAY APT 736, MOUNT PLEASANT, MI 48858-7216
(231) 215-0771
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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