Individual
JANICE PUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 WALLACE AVE, KALAMAZOO, MI 49048-2045
(269) 382-0099
Mailing address
604 WALLACE AVE, KALAMAZOO, MI 49048-2045
(269) 382-0099
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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