JEANNE MONIQUE VANDER WAAL

LANSING, MI
NPI1427325190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202007161)
Enumeration Date2011-11-24
Last Update Date2011-11-24
Business Address
-- JEANNE MONIQUE VANDER WAAL COTAL
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910-4884
Phone number: 517-272-4029
Mailing Address
-- JEANNE MONIQUE VANDER WAAL COTAL
1014 FREDERICK AVE NW
GRAND RAPIDS, MI 49504-4042
Phone number: 616-309-3551