KRISTOPHER EMILLIO WATERS

GRAND RAPIDS, MI
NPI1760073845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence:   3747P1801XTechnician)
Enumeration Date2021-02-01
Last Update Date2021-02-01
Business Address
KRISTOPHER EMILLIO WATERS
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
Mailing Address
KRISTOPHER EMILLIO WATERS
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040