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Hannah Klockner

Technician, Personal Care Attendant in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1154008563
StatusActive
Last updated in NPPESJun 28, 2023

Details

NPI
1154008563
Entity type
Individual (NPI-1)
Name
Hannah Klockner
Sex
Female
Sole proprietor
No
Enumeration date
Jun 28, 2023
Certification date
Jun 28, 2023
Last updated
Jun 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

1490 E Beltline Ave Se
Grand Rapids, MI 49506-4336

Phone 503-805-8525

Mailing address

1490 E Beltline Ave Se
Grand Rapids, MI 49506-4336

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