Individual
MARCIA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9300
Mailing address
8211 ALASKA AVE SE, CALEDONIA, MI 49316-9580
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704126888
MI
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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