Michelle Marlys South, LVN
NPI #1699045450 in Boulder Creek, California
Provider Information
- NPI Number
- 1699045450
- Entity Type
- Individual
- Name
- Michelle Marlys South, LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Jan 10, 2012
- Last Updated
- Jan 10, 2012
Practice Location
- Address
- 18285 CHINA GRADE RD
- Address 2
- #3
- City
- Boulder Creek
- State
- California
- ZIP Code
- 95006-9188
- Phone
- (831) 419-3116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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