Individual
ANTOINETTE DOMINQUE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 SWEET ST NE, GRAND RAPIDS, MI 49505-5262
(616) 477-7156
Mailing address
17980 COVE ST APT 18, SPRING LAKE, MI 49456-1247
(616) 477-7156
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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