JACK M TIETEMA

GRAND RAPIDS, MI
NPI1326669391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-05-01
Last Update Date2020-05-01
Business Address
JACK M TIETEMA
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 855-407-7575
Mailing Address
JACK M TIETEMA
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 855-407-7575
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