SUE ELLEN TERAVEST

GRAND RAPIDS, MI
NPI1851437172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
-- SUE ELLEN TERAVEST BS
781 36TH ST SE
GRAND RAPIDS, MI 49548-2319
Phone number: 616-248-5181
Mailing Address
-- SUE ELLEN TERAVEST BS
2102 126TH AVE
HOPKINS, MI 49328-9768
Phone number:
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