Individual
JACQUELYN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2841 32ND ST SE, KENTWOOD, MI 49512-1755
(616) 885-6466
(616) 272-4591
Mailing address
2841 32ND ST SE, KENTWOOD, MI 49512-1755
(616) 272-4591
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS410384414
MI
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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