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Annemarie Lynn Momber
Student in an Organized Health Care Education/Training Program in Sparta, Michigan
NPI 1295385631

Annemarie Lynn Momber is a Student in an Organized Health Care Education/Training Program based in Sparta, MI. Annemarie Lynn Momber practices in Sparta, MI. The NPI Number for Annemarie Lynn Momber is 1295385631 and holds a License No. 5351015493 (Michigan).

The current practice location address for Annemarie Lynn Momber is 3280 9 Mile Rd Nw, Sparta, MI and can be reached out via phone at 616-633-4032.

Location: 3280 9 Mile Rd Nw, Sparta, MI, 49345-9762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295385631
Provider Name
Annemarie Lynn Momber
Credential
Provider Entity Type
Individual
Gender
Female
Address
3280 9 Mile Rd Nw, Sparta, MI, 49345-9762
Phone Number
616-633-4032
Fax Number
Provider Enumeration Date
09/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3280 9 Mile Rd Nw
City
Sparta
State
Michigan
Zip
49345-9762
Phone Number
616-633-4032
Fax Number
person
Provider Business Mailing Address Details
Address
3280 9 Mile Rd Nw
City
Sparta
State
Michigan
Zip
49345-9762
Phone Number
616-633-4032
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5351015493 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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