Individual
JEMIMA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 BURTON ST SE # BHT-366, GRAND RAPIDS, MI 49546-4301
(616) 329-4688
Mailing address
3201 BURTON ST SE # BHT-366, GRAND RAPIDS, MI 49546-4301
(616) 329-4688
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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