Individual
JANE CATHERINE SCANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418-2000
(616) 531-9973
Mailing address
1570 HILLSBORO AVE SE, GRAND RAPIDS, MI 49546-9721
(616) 881-3881
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704165870
MI
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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