CONNIE RUTH MATTICE

GRAND RAPIDS, MI
NPI1225269095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  2088590)
Enumeration Date2009-07-28
Last Update Date2009-07-28
Business Address
Mrs. CONNIE RUTH MATTICE RN
425 CHERRY ST. S.E PLANNED PARENTHOOD CENTERS OF WEST MICHIGAN
GRAND RAPIDS, MI 49503
Phone number: 616-774-7005
Mailing Address
Mrs. CONNIE RUTH MATTICE RN
7237 22ND AVE
JENISON, MI 49428-7758
Phone number: 616-457-3143