Individual
TERINDA BARTO ANCOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2076 EASTCASTLE DR SE APT CC12, GRAND RAPIDS, MI 49508-8766
(808) 425-3842
Mailing address
2076 EASTCASTLE DR SE APT CC12, GRAND RAPIDS, MI 49508-8766
(808) 425-3842
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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