Individual
KATE MAURA DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 WEALTHY ST SE FL 5, GRAND RAPIDS, MI 49506-2921
(616) 774-3800
Mailing address
205 DIVISION AVE S UNIT 104205, GRAND RAPIDS, MI 49503-4508
(269) 967-3280
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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