Individual
SANDRA DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8906 M 89, RICHLAND, MI 49083
(269) 286-7130
(269) 286-7131
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704214378
MI
Other
Enumeration date
08/30/2006
Last updated
03/22/2023
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