Individual
SHERRY BLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 966-3554
(810) 966-3377
Mailing address
3344 LAKE DRIVE, FORT GRATIOT, MI 48059-4248
(810) 966-4789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704230625
MI
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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