Individual
RITA MARIE GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5300 PATTERSON AVE SE STE 125, GRAND RAPIDS, MI 49512-9627
(616) 222-5601
Mailing address
6820 SUZANNE CT, HOWARD CITY, MI 49329-9213
(231) 408-4281
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703045061
MI
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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