MICHAEL STREET

FORT STEWART, GA
NPI1326448762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  227858)
Enumeration Date2014-09-03
Last Update Date2014-09-03
Business Address
-- MICHAEL STREET
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6762
Mailing Address
-- MICHAEL STREET
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: