Individual
JENNIFER Y. VANRIETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3633 S SPRUCE AVE, WHITE CLOUD, MI 49349-8582
(231) 689-3975
Mailing address
3633 S SPRUCE AVE, WHITE CLOUD, MI 49349-8582
(231) 689-3975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704293225
MI
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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