Individual
TABITHA CORLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1345 MONROE AVE NW STE 140, GRAND RAPIDS, MI 49505-4609
(616) 458-9520
Mailing address
4819 LEONARD ST, COOPERSVILLE, MI 49404-9229
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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