Velenda Shong

NPI 1043699291 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1043699291
Gender Female
Enumeration Date 05/20/2015
Last Updated 05/26/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
4100 SYCAMORE
JACKSON MI, 49201-7021, US
Phone (517) 395-4963
Fax
Business Location
4100 SYCAMORE
JACKSON MI, 49201-7021, US
Phone (517) 395-4963
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Michigan
License Number 4703085085
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According to our database, Velenda Shong NPI is 1043699291, taxonomy code is 164W00000X and license number is 4703085085, license state is located at Michigan. Velenda Shong physically located at 4100 Sycamore, Jackson MI, 49201-7021. NPI Number Velenda Shong has the Individual type.

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1043699291 NPI number is provided on an as is basis without warranty of any kind. 1043699291 is maintained by the National Plan & Provider Enumeration System. The contents of Velenda Shong are for informational purposes only.