Individual
MR. JONCARYL MALIK LOVE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
3582 MEADOW GROVE DR SE, GRAND RAPIDS, MI 49512-9580
(616) 334-2605
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MI
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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