Individual
SERENA OLGA DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW, CPST,
Contact information
Practice address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 260-1037
Mailing address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 260-1037
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
177
MI
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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