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Alicia Pueblo
Licensed Practical Nurse in Portage, Michigan
NPI 1417507344

Alicia Pueblo is a Licensed Practical Nurse based in Kalamazoo, MI. Alicia Pueblo practices in Portage, MI. The NPI Number for Alicia Pueblo is 1417507344 and holds a License No. 4703114479 (Michigan).

The current practice location address for Alicia Pueblo is 524 W Centre Ave, Portage, MI and can be reached out via phone at 269-324-1180.

Location: 524 W Centre Ave, Portage, MI, 49008-2714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417507344
Provider Name
Alicia Pueblo
Credential
Provider Entity Type
Individual
Gender
Female
Address
524 W Centre Ave, Portage, MI, 49008-2714
Phone Number
269-324-1180
Fax Number
Provider Enumeration Date
09/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
524 W Centre Ave
City
Portage
State
Michigan
Zip
49024-5306
Phone Number
269-324-1180
Fax Number
person
Provider Business Mailing Address Details
Address
524 W Centre Ave
City
Portage
State
Michigan
Zip
49024-5306
Phone Number
269-324-1180
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703114479 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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