Individual
MARY PICKERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 O'NEIL RD, AVOCA, MI 48006
(810) 357-2769
Mailing address
3100 O NEIL RD, AVOCA, MI 48006
(810) 357-2769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704150254
MI
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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