Individual
MRS. CONNIE RUTH MATTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 CHERRY ST. S.E, PLANNED PARENTHOOD CENTERS OF WEST MICHIGAN, GRAND RAPIDS, MI 49503
(616) 774-7005
(616) 774-0516
Mailing address
7237 22ND AVE, JENISON, MI 49428-7758
(616) 457-3143
(616) 391-2927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2088590
MI
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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