Individual
NANCY LOUISE DESPRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 LAKE DR SE STE 3, GRAND RAPIDS, MI 49506-1673
(616) 813-2557
Mailing address
355 RIVER PL, LOWELL, MI 49331-9058
(616) 813-2557
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
470415823
MI
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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