Individual
TOMMIE A DELAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2171 N REEK RD, CUSTER, MI 49405-9772
(231) 757-9197
Mailing address
2171 N REEK RD, CUSTER, MI 49405-9772
(231) 757-9197
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703095848
MI
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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