Individual
MRS. LESLIE YVONNE REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
470 BALTIMORE DR NE, GRAND RAPIDS, MI 49503-3934
(616) 454-4777
Mailing address
470 BALTIMORE DR NE, GRAND RAPIDS, MI 49503-3934
(616) 454-4777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704345082
MI
163WC1500X
Community Health Registered Nurse
4704345082
MI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704345082
MI
Other
Enumeration date
10/06/2018
Last updated
03/15/2021
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