Individual
SHAREE GUYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
926 ADAMS ST SE, GRAND RAPIDS, MI 49507-1904
(323) 423-7047
Mailing address
926 ADAMS ST SE, GRAND RAPIDS, MI 49507-1904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703120491
MI
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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