Individual
MRS. MARY LOUISE MOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 92ND ST SE, CALEDONIA, MI 49316-9593
(616) 891-1781
Mailing address
7700 92ND ST SE, CALEDONIA, MI 49316-9593
(616) 891-1781
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
4704137219
MI
Other
Enumeration date
01/01/2008
Last updated
01/01/2008
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