Individual
JAYA SIMONE SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1552 SWEET ST NE, GRAND RAPIDS, MI 49505-5458
(616) 589-6628
Mailing address
1552 SWEET ST NE, GRAND RAPIDS, MI 49505-5458
(616) 589-6628
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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