Most Relevant Information
Provider Data
| NPI Number: | 1003316613 |
| Provider Name: | SUZANNE MORAN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703084195 |
Most Important Dates
| Enumeration Date: | 02/20/2018 |
| Last Updated: | 02/20/2018 |
Provider Practice Location
8196 LOON LN
GRAND BLANC
MI
484397255
Practice Location Phone/Fax
| Phone: | 8105165996 |
| Fax: |
Provider Mailing Location
8196 LOON LN
GRAND BLANC
MI
484397255
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |