Individual
MRS. SUSAN MARIE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 137TH AVE, WAYLAND, MI 49348-9706
(616) 318-0078
Mailing address
526 137TH AVE, WAYLAND, MI 49348-9706
(616) 318-0078
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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