Individual
RACHELE BOERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 392-1873
Mailing address
1111 FULTON AVE, GRAND HAVEN, MI 49417-1529
(616) 842-5350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802086664
MI
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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