Individual
ELLEN PHA ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
513 HENRY AVE SE, GRAND RAPIDS, MI 49503-5522
(616) 458-6168
Mailing address
1345 MONROE AVE NW SUITE 140, GRAND RAPIDS, MI 49505
(616) 458-9520
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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