Individual
ALLISON GRACE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6741 FULTON ST E, ADA, MI 49301-9502
(616) 320-5330
(616) 320-5331
Mailing address
6741 FULTON ST E, ADA, MI 49301-9502
(616) 320-5330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010074
MI
Other
Enumeration date
10/13/2020
Last updated
02/25/2026
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