Organization
SENIOR RESOURCES OF WEST MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JOAN VAZQUEZ (MANAGER)
(231) 737-4041
Entity
Organization
Contact information
Practice address
560 SEMINOLE RD, NORTON SHORES, MI 49444-3720
(231) 739-5858
Mailing address
560 SEMINOLE RD, NORTON SHORES, MI 49444-3720
(231) 737-4041
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
04/18/2022
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