Individual
MR. METUSCHELAH MUNYABERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14820 32ND ST, GOBLES, MI 49055-8648
(269) 216-4230
(269) 585-6009
Mailing address
14820 32ND ST, GOBLES, MI 49055-8648
(269) 216-4230
(269) 585-6009
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
AF800093261
MI
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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