Individual
KATHERINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W CHARLES ST, GREENVILLE, MI 48838-1144
(616) 835-3899
Mailing address
220 W CHARLES ST, GREENVILLE, MI 48838-1144
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703076570
MI
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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