Individual
MISS KIMBERLY JOY OOSTENINK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4668 CASCADE RD SE, GRAND RAPIDS, MI 49546-3718
(616) 949-0170
(616) 949-4073
Mailing address
5350 ABBEY MILL BLVD SE, ADA, MI 49301-7742
(616) 464-6136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032602
MI
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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