Individual
MRS. JACQUELYN KAY DEMULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 588-6295
Mailing address
201 SHELDON AVE SE, GRAND RAPIDS, MI 49503-4513
(616) 965-8200
(616) 588-6295
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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