Individual
ROSA ANGELINA QUEZADA-REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 825-5425
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
04/08/2022
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