Individual
DOLORES ANNE HUIZINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9415 E 136TH ST, SAND LAKE, MI 49343-8976
(616) 636-8160
Mailing address
9415 E 136TH ST, SAND LAKE, MI 49343-8976
(616) 636-8160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704134859
MI
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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