Individual
ALTAGRACIA AERIAL MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 LINCOLN AVE NW, GRAND RAPIDS, MI 49504-5071
(616) 401-4416
Mailing address
555 LINCOLN AVE NW, GRAND RAPIDS, MI 49504-5071
(616) 401-4416
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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