Individual
CARLIE CULINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 GOLD AVE SW, GRAND RAPIDS, MI 49504-6323
(906) 440-9001
Mailing address
115 GOLD AVE SW, GRAND RAPIDS, MI 49504-6323
(906) 440-9001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5302043154
MI
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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