SAMUEL LEE BRAAK

GRAND RAPIDS, MI
NPI1447849161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-01-16
Last Update Date2021-01-16
Business Address
SAMUEL LEE BRAAK
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-502-6872
Mailing Address
SAMUEL LEE BRAAK
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: