MICA LATICE CRAIG

WYOMING, MI
NPI1912213653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703094690)
Enumeration Date2010-08-18
Last Update Date2010-08-18
Business Address
-- MICA LATICE CRAIG LPN
1921 PARKCREST DR SW APT 9
WYOMING, MI 49519-9330
Phone number: 616-634-4903
Mailing Address
-- MICA LATICE CRAIG LPN
1921 PARKCREST DR SW APT 9
WYOMING, MI 49519-9330
Phone number: 616-634-4903
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