Individual
KURTRICE SHARLYNN MANSARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
700 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 306-0794
Mailing address
700 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 306-0794
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1298
MI
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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