Individual
WANDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1357 COBB DR SE APT 3A, GRAND RAPIDS, MI 49508-7172
(616) 734-9923
Mailing address
1357 COBB DR SE APT 3A, GRAND RAPIDS, MI 49508-7172
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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