PRIMA MARDHATILLAH MUZIRMAN

JACKSON, MI
NPI1437551595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704248754)
Enumeration Date2014-09-19
Last Update Date2014-09-19
Business Address
Miss PRIMA MARDHATILLAH MUZIRMAN NP
1780 E PARNALL RD
JACKSON, MI 49201-7136
Phone number: 517-780-6004
Mailing Address
Miss PRIMA MARDHATILLAH MUZIRMAN NP
6346 BEECHFIELD DR
LANSING, MI 48911-5735
Phone number: 517-410-1388
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