Individual
JACKIE KAZUNGU AMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 235-1480
Mailing address
4738 EASTERN AVE SE APT 202, GRAND RAPIDS, MI 49508-7543
(720) 289-0520
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
—
MI
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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