TIMOTHY JOHN HIETALA

DETROIT, MI
NPI1376269670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WA2000X Registered Nurse, Administrator
(Licence: MI  4704320232)
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
TIMOTHY JOHN HIETALA BSN RN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
TIMOTHY JOHN HIETALA BSN RN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number:
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