Hometown Provider LLC

NPI #1629697008 in Clio, Michigan

Provider Information

NPI Number: 1629697008
Entity Type: Organization
Organization Name: Hometown Provider LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Apr 15, 2020
Last Updated: Apr 15, 2020

Practice Location

Address: 9112 N LINDEN RD
City: Clio
State: Michigan
ZIP Code: 48420-8524
Phone: (810) 610-7125

Authorized Official

Name: REBECCA LYNN AARON, NP
Title: BUSINESS OWNER
Phone: (810) 610-7125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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