Individual
FATIMA FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1269 BOSTON ST SE, GRAND RAPIDS, MI 49507-2135
(616) 885-6440
Mailing address
1269 BOSTON ST SE, GRAND RAPIDS, MI 49507-2135
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101391
MI
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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