Individual
DEENEA FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 36TH ST SE, GRAND RAPIDS, MI 49548-2355
(616) 512-2781
Mailing address
551 36TH ST SE, GRAND RAPIDS, MI 49548-2355
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
07/07/2024
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