Individual
CHEYENNE DEPALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 726-1917
Mailing address
775 36TH ST SE, GRAND RAPIDS, MI 49548-2319
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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