Individual
FELICIA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7074 12TH AVE, JENISON, MI 49428-8190
(616) 510-6167
Mailing address
7074 12TH AVE, JENISON, MI 49428-8190
(616) 510-6167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704280558
MI
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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