Individual
LEONCIE MUKARURINDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
235 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49503-5229
(616) 840-8719
(616) 870-9637
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8719
(616) 840-9637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004980
MI
Other
Enumeration date
07/03/2007
Last updated
01/11/2017
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