Individual
MRS. JUDY LYNN MOILANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
55794 SALO RD, HANCOCK, MI 49930-9627
(906) 482-8708
Mailing address
55794 SALO RD, HANCOCK, MI 49930-9627
(906) 482-8708
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703033239
MI
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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