Individual
MRS. JUDITH ANN MAXIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1256 WALKER NW, GRAND RAPIDS, MI 49504
(616) 235-2910
(616) 235-1436
Mailing address
1256 WALKER NW, GRAND RAPIDS, MI 49504
(616) 235-2910
(616) 235-1436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1697495
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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