Individual
GRACE-FOMBOH KANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3601 S 9TH ST, KALAMAZOO, MI 49009-9538
(269) 383-6789
(269) 383-6767
Mailing address
3601 S 9TH ST, KALAMAZOO, MI 49009-9538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704308286
MI
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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