Individual
SAMANTHA JEAN CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 WHISPERING WAY SE, GRAND RAPIDS, MI 49546-7644
(616) 419-9678
Mailing address
3851 WHISPERING WAY SE, GRAND RAPIDS, MI 49546-7644
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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