KELLY ELLEN DEWENT

GRANDVILLE, MI
NPI1962034850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704154590)
Enumeration Date2020-02-07
Last Update Date2020-02-07
Business Address
KELLY ELLEN DEWENT
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418-2000
Phone number: 616-531-9973
Mailing Address
KELLY ELLEN DEWENT
7652 FINCH AVE
JENISON, MI 49428-9147
Phone number: 616-690-4107