Tammy Wynette LaBonty
ActiveMichigan license EMC0001900
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0001900
- Status
- Active
- First issued
- April 12, 2022
- Expires
- April 12, 2028
- License holder
- Tammy Wynette LaBonty
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
12 Cole Field Rd
Cape Elizabeth, ME 04107
Cape Elizabeth, ME 04107