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Individual

JENNA KANDOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418-2000
(616) 531-9973
Mailing address
1431 ATLANTIC ST NW, GRAND RAPIDS, MI 49504-4800
(816) 719-4005

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704319936
MI

Other

Enumeration date
02/09/2020
Last updated
02/09/2020
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