Individual
BARBARA J MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, CHTP, CHTI
Contact information
Practice address
595 ISLAND, GRASS LAKE, MI 49240-9623
(517) 522-4790
(517) 522-4110
Mailing address
595 ISLAND, GRASS LAKE, MI 49240-9623
(517) 522-4790
(517) 522-4110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703013684
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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