Individual
CHARLEEN WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 10TH ST, PLAINWELL, MI 49080
(269) 685-9246
Mailing address
565 10TH ST., PLAINWELL, MI 49080
(269) 685-9246
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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