Individual
ROSEANN HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B&B
Contact information
Practice address
282 DYKEN DR, HOLLAND, MI 49424-2684
(636) 357-3993
Mailing address
282 DYKEN DR, HOLLAND, MI 49424-2684
(636) 357-3993
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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