CHAD UNDERLY

GRAND RAPIDS, MI
NPI1962828087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703103389)
Enumeration Date2014-03-13
Last Update Date2014-03-13
Business Address
-- CHAD UNDERLY L.P.N.
1450 LEONARD ST NE
GRAND RAPIDS, MI 49505-5515
Phone number: 616-446-5101
Mailing Address
-- CHAD UNDERLY L.P.N.
2809 PORTER ST SW
GRANDVILLE, MI 49418-1144
Phone number: 616-446-5101
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