Individual
JANE ELLEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.I.S
Contact information
Practice address
4635 14 MILE RD NE STE A, ROCKFORD, MI 49341-7310
(616) 884-5877
(616) 884-5879
Mailing address
1000 3 MILE RD NW OFC D, GRAND RAPIDS, MI 49544-1650
(616) 538-5300
(616) 538-5006
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501010458
MI
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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