Hautumn Vangeison

NPI 1821534207 · on the registry since 2017 · sole proprietor

Practice

Address: 3611 Henry St
Norton Shores, MI 49441
Phone: (760) 805-6399
Organisation at this address: Three Fates Llc
Kimberlee K Erickson-Worpel Ma,Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan