Individual
ELBA VANKUIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Mailing address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096935
MI
Other
Enumeration date
01/07/2016
Last updated
01/30/2018
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