Individual
MRS. HEATHER LEE WOOLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4328 PAGE AVE, MICHIGAN CENTER, MI 49254-1077
(517) 764-3609
(517) 764-3659
Mailing address
11940 S LAKE SIDE DR, JEROME, MI 49249-9650
(171) 643-6095
(517) 764-3659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704238114
MI
Other
Enumeration date
09/28/2022
Last updated
10/03/2022
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