Individual
ALEXANDER MIGUEL JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4829 E BELTLINE AVE NE STE 310, GRAND RAPIDS, MI 49525-9350
(616) 279-6414
Mailing address
4829 E BELTLINE AVE NE STE 310, GRAND RAPIDS, MI 49525-9350
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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