Most Relevant Information
Provider Data
| NPI Number: | 1003435850 |
| Provider Name: | LINDA JO HUSTON RNC |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704257218 |
Most Important Dates
| Enumeration Date: | 04/13/2020 |
| Last Updated: | 04/13/2020 |
Provider Practice Location
37373 20TH AVE
GOBLES
MI
490559636
Practice Location Phone/Fax
| Phone: | 2698080044 |
| Fax: |
Provider Mailing Location
37373 20TH AVE
GOBLES
MI
490559636
Provider Mailing Phone/Fax
| Phone: | 2698080044 |
| Fax: |