Individual
THELMA J SYMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
293 POWELL RD, HASTINGS, MI 49058-9139
(269) 331-9110
Mailing address
293 POWELL RD, HASTINGS, MI 49058-9139
(269) 331-9110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703099999
MI
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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