Individual
ANDRE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 LONGACRE LN, HOLLAND, OH 43528-9694
(616) 460-2132
Mailing address
2141 LONGACRE LN, HOLLAND, OH 43528-9694
(616) 460-2132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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