Individual
LOCARDIA PATIENCE MUPFURURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4218 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 265-2434
Mailing address
4218 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 265-2434
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
3747P1801X
Personal Care Attendant
166531676969
MI
Other
Enumeration date
10/26/2021
Last updated
07/12/2022
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