AMANDA CATHERINE LARES

GRAND RAPIDS, MI
NPI1578960464
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704276338)
Enumeration Date2014-11-21
Last Update Date2014-11-21
Business Address
-- AMANDA CATHERINE LARES FNP-BC
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
Mailing Address
-- AMANDA CATHERINE LARES FNP-BC
2537 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 616-988-8220