Individual
RACHEL KOWALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 CENTURY LN, HOLLAND, MI 49423-4285
(616) 396-2301
Mailing address
6069 BOULDER RDG NE, BELMONT, MI 49306-9058
(616) 299-8233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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