Individual
ANNICA QUAKENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CD(DONA)
Contact information
Practice address
336 VISSER PL SE, GRAND RAPIDS, MI 49506-1541
(616) 460-7932
Mailing address
336 VISSER PL SE, GRAND RAPIDS, MI 49506-1541
(616) 460-7932
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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