SOYAPONGA PROVIDENCE AMISI

GRAND RAPIDS, MI
NPI1841765021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
SOYAPONGA PROVIDENCE AMISI
2460 BURTON ST SE STE 101
GRAND RAPIDS, MI 49546-4800
Phone number: 616-278-1201
Mailing Address
SOYAPONGA PROVIDENCE AMISI
5068 RUM CREEK CT SE
KENTWOOD, MI 49508-5280
Phone number: 616-690-9731
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