Individual
KIRSTEN ELIZABETH TANUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2606 EASTERN AVE SE, GRAND RAPIDS, MI 49507-3605
(616) 516-6407
(616) 303-7030
Mailing address
2606 EASTERN AVE SE, GRAND RAPIDS, MI 49507-3605
(616) 516-6407
(616) 303-7030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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