Individual
JUVENAL RUTARAMIRWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4968 STAUFFER AVE SE, KENTWOOD, MI 49508-5106
(480) 570-4843
Mailing address
448 VAN ALLEN ST SE, GRAND RAPIDS, MI 49548-1228
(480) 570-4843
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AS410418326
MI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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