Individual
MURAMBYA DESIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3066 LANTANA CT SE, GRAND RAPIDS, MI 49512-5373
(616) 690-9339
Mailing address
3066 LANTANA CT SE, GRAND RAPIDS, MI 49512-5373
(616) 690-9339
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS410418962
MI
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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