TIMOTHY HAYATAKA

GRAND RAPIDS, MI
NPI1568816395
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2016-04-18
Last Update Date2016-04-18
Business Address
-- TIMOTHY HAYATAKA
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
Mailing Address
-- TIMOTHY HAYATAKA
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: