GRACE ELIZABETH FENNEMA

GRAND RAPIDS, MI
NPI1982143251
Former NameGRACE ELIZABETH BOOTSMA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2017-02-19
Last Update Date2017-02-19
Business Address
Mrs. GRACE ELIZABETH FENNEMA
3361 36TH ST SE
GRAND RAPIDS, MI 49512-2809
Phone number: 616-942-2522
Mailing Address
Mrs. GRACE ELIZABETH FENNEMA
3361 36TH ST SE
GRAND RAPIDS, MI 49512-2809
Phone number: 616-942-2522