Individual
ANDREA JO BURLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 WEISS ST, SAGINAW, MI 48602-5251
(989) 497-2500
Mailing address
416 JAMES ST, BAY CITY, MI 48706-3930
(989) 667-3104
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
4704148843
MI
Other
Enumeration date
12/02/2007
Last updated
12/02/2007
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