Individual
AHNETRA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 36TH ST SE, GRAND RAPIDS, MI 49512-2963
(616) 940-0040
Mailing address
4345 36TH STREET SE, GRAND RAPIDS, MI 49512
(616) 940-0040
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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