Individual
EVELYN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 DICKINSON ST SE, GRAND RAPIDS, MI 49507-2045
(616) 589-9882
Mailing address
902 DICKINSON ST SE, GRAND RAPIDS, MI 49507-2045
(616) 589-9882
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703083462
MI
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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