Individual
RONNISE MARIE EUBANKS-CHAMBLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
700 FULLER AVE NE, GRAND RAPIDS, MI 49503-1996
(616) 591-8657
Mailing address
700 FULLER AVE NE, GRAND RAPIDS, MI 49503-1996
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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