Individual
JUDITH SOBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9303
Mailing address
2325 INDIAN MILL CREEK DR NW, GRAND RAPIDS, MI 49544-9706
(616) 633-7377
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704252118
MI
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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