Individual
EMILY KOOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 BRETON RD SE, GRAND RAPIDS, MI 49546-5627
(616) 949-3813
Mailing address
2451 BRETON RD SE, GRAND RAPIDS, MI 49546-5627
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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