Individual
JEWEL WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15799 144TH AVE, SPRING LAKE, MI 49456-9539
(616) 848-6485
Mailing address
15799 144TH AVE, SPRING LAKE, MI 49456-9539
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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