Individual
PEDRO IRIZARRY PLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-4141
Mailing address
2600 W CENTRE AVE, PORTAGE, MI 49024-4828
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704364517
MI
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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