ANNELISE ELIZABETH MEDINA

GRAND RAPIDS, MI
NPI1184193617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2018-11-14
Last Update Date2018-11-14
Business Address
ANNELISE ELIZABETH MEDINA
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
Mailing Address
ANNELISE ELIZABETH MEDINA
4393 DIVISION ST
WAYLAND, MI 49348-9786
Phone number: 269-397-0527