Individual
JAMIN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
775 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 726-1917
Mailing address
775 36TH ST, GRAND RAPIDS, MI 49548
(616) 726-1917
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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