Individual
COURTNEY BRACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
549 LANE AVE NW, GRAND RAPIDS, MI 49504-5016
(616) 617-1758
Mailing address
549 LANE AVE NW, GRAND RAPIDS, MI 49504-5016
(616) 617-1758
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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