Individual
ANDREA OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8782 N WYMAN RD, EDMORE, MI 48829-9702
(912) 592-1630
Mailing address
8782 N WYMAN RD, EDMORE, MI 48829-9702
(912) 592-1630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704315880
MI
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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