Individual
BRANDY JO KRIKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9570 12 MILE RD, BIG RAPIDS, MI 49307-9603
(231) 660-3964
Mailing address
9570 12 MILE RD, BIG RAPIDS, MI 49307-9603
(231) 660-3964
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AF370407894
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0724012120051983
—
MI
Enumeration date
01/10/2022
Last updated
01/10/2022
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