MADELINE NICOLE TIETEMA

GRAND RAPIDS, MI
NPI1134977754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
MADELINE NICOLE TIETEMA
551 36TH ST SE
GRAND RAPIDS, MI 49548-2355
Phone number: 616-512-2781
Mailing Address
MADELINE NICOLE TIETEMA
4281 RIVERLANDS CT NE
GRAND RAPIDS, MI 49525-9422
Phone number: 616-216-8545