Individual
AMANDA L TOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
230 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2550
(616) 267-0770
Mailing address
6057 8TH AVE SW APT 1A, GRANDVILLE, MI 49418-9465
(616) 848-6137
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4704313257
MI
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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