Individual
CAROL ANN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
598 OAK VALLEY DR, HOLLAND, MI 49424-2728
(636) 377-3128
Mailing address
598 OAK VALLEY DR, HOLLAND, MI 49424-2728
(636) 377-3128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704207373
MI
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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