Individual
KYLEIGH DEJONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(702) 630-4535
Mailing address
761 RUTLEDGE ST NE, GRAND RAPIDS, MI 49525-2219
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704407328
MI
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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