Individual
DAYVEA PESOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
436 CARRIER ST NE APT 2, GRAND RAPIDS, MI 49505-5137
(906) 362-7119
Mailing address
436 CARRIER ST NE APT 2, GRAND RAPIDS, MI 49505-5137
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122796
MI
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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