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Organization
GRAND WELLNESS, LLC
Active
Organization
GRAND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIKKI NESTICO L. AC. (ACUPUNCTURIST)
(917) 376-4001
Entity
Organization
Contact information
Practice address
751 KENMOOR AVE SE STE H, GRAND RAPIDS, MI 49546-2391
(616) 466-4175
(616) 259-4855
Mailing address
1531 LAKE GROVE AVE SE, EAST GRAND RAPIDS, MI 49506-4741
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5401000137
MI
Other
Enumeration date
08/24/2015
Last updated
06/20/2021
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