SANDRA TIETEMIA

MUSKEGON, MI
NPI1649612482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703085335)
Enumeration Date2013-07-22
Last Update Date2013-07-22
Business Address
SANDRA TIETEMIA LPN
955 W BROADWAY AVE
MUSKEGON, MI 49441-3521
Phone number: 231-755-0637
Mailing Address
SANDRA TIETEMIA LPN
2851 MONOLITH DR
HUDSONVILLE, MI 49426-7652
Phone number: 231-755-0637