Individual
BONNIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 MONROE AVE, GRAND HAVEN, MI 49417-1063
(616) 834-3526
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 392-1873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704094585
MI
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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