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Individual

QUINESHA SHAMIRA BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
4700 KALAMAZOO AVE SE STE 200, GRAND RAPIDS, MI 49508-4628
(616) 281-7464
Mailing address
1167 BILLINGS CT SE APT 2B, GRAND RAPIDS, MI 49508-7373
(231) 740-9066

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016046
MI

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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