Individual
MRS. TASHA LASHAY OLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
781 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 726-1123
(616) 243-2392
Mailing address
PO BOX 141, GRAND RAPIDS, MI 49501-0141
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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