Individual
MS. JUDY R HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504-4067
(616) 235-2910
Mailing address
1372 SAFFRON LN SE, APT. 1B, GRAND RAPIDS, MI 49508-7342
(616) 554-5284
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084645
MI
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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