Isethena Press Llc

NPI 1144580077 - Psychologist - 103TC0700X

NPI Details
NPI 1144580077
Enumeration Date 05/25/2012
Last Updated 05/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TRACY M TRACY
Position OWNER
Phone (616) 218-9903
Fax (616) 459-9059
Practice Location
233 FULTON ST E
SUITE 126
GRAND RAPIDS MI, 49503-3200, US
Phone (616) 218-9903
Fax (616) 459-9059
Business Location
PO BOX 1767
GRAND RAPIDS MI, 49501-1767, US
Phone (616) 235-2090
Fax (616) 235-2099
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
Remove 1144580077 NPI Number
 

According to our database, Isethena Press Llc NPI is 1144580077, taxonomy code is 103TC0700X Isethena Press Llc physically located at 233 Fulton St E, Grand Rapids MI, 49503-3200. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1144580077 NPI number is provided on an as is basis without warranty of any kind. 1144580077 is maintained by the National Plan & Provider Enumeration System. The contents of Isethena Press Llc are for informational purposes only.