PENNY MIMS

YPSILANTI, MI
NPI1104369610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704180055)
Enumeration Date2016-12-01
Last Update Date2016-12-01
Business Address
-- PENNY MIMS CNP
5301 E HURON RIVER DR
YPSILANTI, MI 48197-1051
Phone number: 734-712-8676
Mailing Address
-- PENNY MIMS CNP
24 FRANK LLOYD WRIGHT DR PO BOX 0446 - LOBBY J
ANN ARBOR, MI 48105-9484
Phone number: 734-747-6766
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