Individual
ANASTASIA CULLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 33RD ST SE, GRAND RAPIDS, MI 49508-2436
(616) 808-1619
Mailing address
1332 BROADWAY AVE NW # 2, GRAND RAPIDS, MI 49504-3209
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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