TRACY LATAWNIA PRIMUS

GRAND RAPIDS, MI
NPI1235281262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704253947)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
MRS. TRACY LATAWNIA PRIMUS REGISTERED NURSE
781 36TH ST SE
GRAND RAPIDS, MI 49548-2319
Phone number: 616-248-5168
Mailing Address
MRS. TRACY LATAWNIA PRIMUS REGISTERED NURSE
PO BOX 141
GRAND RAPIDS, MI 49501-0141
Phone number: 616-248-5168