Individual
JUDITH LOU GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1001 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-5803
(616) 222-1441
(616) 222-1541
Mailing address
1001 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-5803
(616) 222-1441
(616) 222-1541
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
4704144697
MI
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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