Individual
JOANNAH KONING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 PATTERSON AVE SE STE 125, GRAND RAPIDS, MI 49512-9627
(616) 222-5601
Mailing address
2225 BUCKWHEAT LN, KALAMAZOO, MI 49004-3326
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115707
MI
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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