ELLIANNE KIMES MARTIN

GRAND RAPIDS, MI
NPI1770212342
Former NameELLIANNE ELIZABETH KIMES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  7152000343)
Enumeration Date2022-06-08
Last Update Date2022-06-08
Business Address
ELLIANNE KIMES MARTIN
710 KENMOOR AVE SE STE 110
GRAND RAPIDS, MI 49546-2379
Phone number: 616-591-2905
Mailing Address
ELLIANNE KIMES MARTIN
710 KENMOOR AVE SE STE 110
GRAND RAPIDS, MI 49546-2379
Phone number: 616-591-2905
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