Individual
DIANE RENEE GUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 CATHERINE ST LOT 65, BIG RAPIDS, MI 49307-1169
(231) 349-2089
Mailing address
1111 CATHERINE ST LOT 65, BIG RAPIDS, MI 49307-1169
(231) 349-2089
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
9334448
MI
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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