Individual
KUM CHA MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
4594 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 49525-1646
(616) 365-8483
(616) 365-8483
Mailing address
4594 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 49525-1646
(616) 365-8483
(616) 365-8483
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7501003375
MI
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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