Individual
MISS LASHANDA M SNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3333 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 954-3450
(616) 954-3541
Mailing address
3075 ORCHARD VISTA DR SE, C/O NICOLE GREJEWSI, GRAND RAPIDS, MI 49546-7069
(616) 954-3450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704261003
MI
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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