Individual
JULIA AUSTIN-OLMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 GOLD AVE NW, GRAND RAPIDS, MI 49504-5655
(616) 980-6048
Mailing address
237 GOLD AVE NW, GRAND RAPIDS, MI 49504-5655
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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