Individual
MRS. STEPHANIE LYNN DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-4446
(616) 940-0040
Mailing address
PO BOX 25, KENT CITY, MI 49330-0025
(896) 405-6459
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/26/2020
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