Individual
OCTAVIA SHONTAE MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 IONIA AVE SW APT 302, GRAND RAPIDS, MI 49503-6411
(989) 443-9699
Mailing address
350 IONIA AVE SW APT 302, GRAND RAPIDS, MI 49503-6411
(989) 443-9699
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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