Individual
BRANDI BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14190 19 MILE RD, GOWEN, MI 49326-9560
(616) 200-5220
Mailing address
PO BOX 219, GOWEN, MI 49326-0219
(616) 200-5220
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/19/2021
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