AZARIA LIVELY

FLINT, MI
NPI1144081969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704371267)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MI  4704371267)
Enumeration Date2024-01-18
Last Update Date2024-10-22
Business Address
AZARIA LIVELY
303 E KEARSLEY ST
FLINT, MI 48502-1907
Phone number: 810-762-3300
Mailing Address
AZARIA LIVELY
31402 MADISON AVE
MADISON HEIGHTS, MI 48071-1032
Phone number: