Individual
MRS. JANELLE PROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2425 44TH ST SE, KENTWOOD, MI 49512-3878
(616) 455-5151
Mailing address
2425 44TH ST SE, KENTWOOD, MI 49512-3878
(616) 455-5151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031425
MI
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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