Individual
TINA HOWERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 GRANTOUR CT, PONTIAC, MI 48340-1421
(248) 636-8518
Mailing address
16 GRANTOUR CT, PONTIAC, MI 48340-1421
(248) 636-8518
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114431
MI
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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