Individual
CALLIE GONYOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9300
Mailing address
13886 60TH ST SE, ALTO, MI 49302-9550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704385223
MI
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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