Individual
DARSHETHIA FOURCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816 HOVEY ST SW, GRAND RAPIDS, MI 49504-6228
(616) 929-3204
Mailing address
816 HOVEY ST SW, GRAND RAPIDS, MI 49504-6228
(616) 929-3204
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
193400000X
MI
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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