Eva Dafoe
Licensed Practical Nurse in Pinconning, MI. Individual provider (NPI-1).
NPI number1093499485
StatusActive
Last updated in NPPESJun 14, 2023
Details
- NPI
- 1093499485
- Entity type
- Individual (NPI-1)
- Name
- Eva Dafoe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2023
- Certification date
- Jun 14, 2023
- Last updated
- Jun 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703099331 | MI | Yes |
Practice location
127 S Water StPinconning, MI 48650-9704
Phone 989-324-9427
Mailing address
127 S Water StPinconning, MI 48650-9704
Phone 989-324-9427
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