Individual
HEATHER ANNE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5364 KIMBALL AVE SE, KENTWOOD, MI 49508-6149
(616) 648-0254
Mailing address
5364 KIMBALL AVE SE, KENTWOOD, MI 49508-6149
(616) 648-0254
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017
NOTHING TO PROVIDE
—
Enumeration date
11/06/2023
Last updated
11/06/2023
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