Individual
LILLIAN VENEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4934 LUXEMBURG ST SE, GRAND RAPIDS, MI 49546-8406
(616) 215-0444
Mailing address
4150 VALLEY VISTA DR APT 302, HUDSONVILLE, MI 49426-7976
(269) 945-7188
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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