Individual
HALLE GRACE FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 E SHAW LN RM 540W, EAST LANSING, MI 48825-3801
(231) 286-9732
Mailing address
817 E SHAW LN RM 540W, EAST LANSING, MI 48825-3801
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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