Individual
JUDITH DOORNBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-6868
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-6868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021600
MI
Other
Enumeration date
12/08/2015
Last updated
12/10/2015
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