Individual
MARY LOU HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
319 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4515
(616) 443-6325
Mailing address
12032 60TH AVE, ALLENDALE, MI 49401-9761
(616) 443-6325
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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