Individual
KIMBERLY SUMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
866 WILSON AVE, NORTON SHORES, MI 49441-3196
(231) 724-0165
Mailing address
866 WILSON AVE, NORTON SHORES, MI 49441-3196
(231) 724-0165
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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