Individual
BELLAH NYAMOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504-4067
(616) 451-2039
Mailing address
3416 ASSUMPTION DR NE, GRAND RAPIDS, MI 49525-2617
(616) 822-1373
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703129105
MI
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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