Individual
VICTORIA ELYSSE GREGORIA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
950 W MONROE ST STE A&600B, JACKSON, MI 49202-2079
(616) 301-8000
Mailing address
950 W MONROE ST STE A&600B, JACKSON, MI 49202-2079
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/27/2022
Last updated
02/07/2022
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