Individual
CYNTHIA BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 LEONARD ST NE, GRAND RAPIDS, MI 49525-5826
(616) 949-0859
(616) 949-0859
Mailing address
2845 LEONARD ST NE, GRAND RAPIDS, MI 49525-5826
(616) 949-0859
(616) 949-0859
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410269952
MI
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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