Individual
MARISELA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4218 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 301-8000
Mailing address
4218 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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