LAURA M DEFRAIA

GRAND RAPIDS, MI
NPI1194092957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: MI  4704307776)
Enumeration Date2011-11-22
Last Update Date2021-03-02
Business Address
LAURA M DEFRAIA CNP
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546-8816
Phone number: 616-267-8520
Mailing Address
LAURA M DEFRAIA CNP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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