Individual
VANDY UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 E 11TH ST, HOLLAND, MI 49423-3726
(616) 834-6580
Mailing address
630 E 11TH ST, HOLLAND, MI 49423-3726
(616) 834-6580
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110986
MI
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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