Mattea Rose Span

NPI #1891434882 in Kingsford, Michigan

Provider Information

NPI Number: 1891434882
Entity Type: Individual
Name: Mattea Rose Span
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: May 31, 2022
Last Updated: Sep 26, 2022

Practice Location

Address: 715 PYLE DR
City: Kingsford
State: Michigan
ZIP Code: 49802-4456
Phone: (906) 774-0522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Gerontology — Gerontology	163WG0600X
Registered Nurse	163W00000X	Primary

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