Individual
BONNIE BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
2490 COLLEGE AVE NE, GRAND RAPIDS, MI 49505-3639
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
4704302096
MI
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/20/2012
Last updated
08/23/2021
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