Individual
LYDIA ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13163 SOUTHLAND CT, HOLLAND, MI 49424-9109
(616) 786-0315
Mailing address
13163 SOUTHLAND CT, HOLLAND, MI 49424-9109
(616) 786-0315
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
AF700302004
MI
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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