Individual
NANCY G JONKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2707 BRETON RD SE, GRAND RAPIDS, MI 49546-5633
(616) 443-9626
Mailing address
2707 BRETON RD SE, GRAND RAPIDS, MI 49546-5633
(616) 443-9626
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007327
MI
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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