Individual
LYNN SANDFORD VICTORIA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
481 AARONS WAY, ORTONVILLE, MI 48462-9046
(248) 660-6497
Mailing address
481 AARONS WAY, ORTONVILLE, MI 48462-9046
(248) 660-6497
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704257292
MI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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