Individual
TARA HENDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5034 MT BLANC LN, ALLENDALE, MI 49401-9567
(616) 589-1551
Mailing address
5034 MT BLANC LN, ALLENDALE, MI 49401-9567
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114115
MI
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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