Individual
BRENDA WODARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 S BLUFF CT, HUDSONVILLE, MI 49426-1580
(616) 209-5029
Mailing address
3761 BRADWOOD CT NW, WALKER, MI 49534-2722
(616) 540-3038
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
AS700317377
MI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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