Individual
JANICE LYNN WAITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17919 PLEASANT VALLEY DR, MACOMB, MI 48044-6118
(586) 206-4627
Mailing address
17919 PLEASANT VALLEY DR, MACOMB, MI 48044-6118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704193472
MI
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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