Individual
MISS SARA LOVSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
609 E REDWOOD ST, SPRINGFIELD, MO 65807-5163
(586) 764-6451
Mailing address
16490 DAWN DR, CLINTON TOWNSHIP, MI 48038-1938
(586) 764-6451
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
10/05/2017
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