Individual
KIM PROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
3007 NORTH SAGINAW ROAD, MIDLAND, MI 48640
(989) 633-1400
Mailing address
3007 NORTH SAGINAW ROAD, MIDLAND, MI 48640
(989) 633-1400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703104866
MI
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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