Individual
MS. MARY KATHERINE WARWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418-2000
(616) 531-9973
Mailing address
1130 ELLSMERE ST NE, GRAND RAPIDS, MI 49505-3741
(616) 560-5117
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704086353
MI
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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