Individual
MACY BIONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
888 CAMELLIA LN, WAYLAND, MI 49348-8918
(616) 295-2945
Mailing address
888 CAMELLIA LN, WAYLAND, MI 49348-8918
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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