Individual
MS. NANCY G VIZENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5805 E F AVE, KALAMAZOO, MI 49004-8671
(269) 365-5428
Mailing address
5805 E F AVE, KALAMAZOO, MI 49004-8671
(269) 365-5428
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703098435
MI
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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