Individual
DAVID S JANGDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
2460 BURTON ST SE, GRAND RAPIDS, MI 49546-4800
(616) 281-6794
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013963
MI
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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