Individual
KIM JUANITA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6350 HUFF RD, BELLEVUE, MI 49021-9233
(915) 564-6100
Mailing address
6350 HUFF RD, BELLEVUE, MI 49021-9233
(915) 564-6100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704247290
MI
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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