Individual
JAMIE TULISIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 CALVIN AVE SE, GRAND RAPIDS, MI 49506-3234
(616) 901-5171
Mailing address
1053 CALVIN AVE SE, GRAND RAPIDS, MI 49506-3234
(616) 901-5171
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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