Individual
KIERA LATITIA RUSHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 PINECREST ST APT 2, ALPENA, MI 49707-1386
(989) 356-6050
(989) 356-6050
Mailing address
539 PINECREST ST APT 7, ALPENA, MI 49707-1387
(989) 255-0620
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
R235469488328
MI
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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