Ronnise Marie Eubanks-Chambliss, CHW
Community Health Worker in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1104643188
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1104643188
- Entity type
- Individual (NPI-1)
- Name
- Ronnise Marie Eubanks-Chambliss
- Credential
- CHW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2024
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
700 Fuller Ave NeGrand Rapids, MI 49503-1996
Phone 616-591-8657
Mailing address
700 Fuller Ave NeGrand Rapids, MI 49503-1996
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All 112 Community Health Worker providers in Grand Rapids · All 20,987 providers in Grand Rapids
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