Individual
MRS. BROOKE NICOLE EMELANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2695 WILLOW VIEW DR, JENISON, MI 49428-9191
(616) 797-4219
Mailing address
2695 WILLOW VIEW DR, JENISON, MI 49428-9191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704296157
MI
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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