Alissa Marie Ebenhoeh
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1104567643
StatusActive
Last updated in NPPESApr 6, 2022
Details
- NPI
- 1104567643
- Entity type
- Individual (NPI-1)
- Name
- Alissa Marie Ebenhoeh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2022
- Certification date
- Mar 23, 2022
- Last updated
- Apr 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
15 Michigan St NeGrand Rapids, MI 49503-2508
Phone 616-233-1678
Mailing address
15 Michigan St NeGrand Rapids, MI 49503-2508
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All 180 Student in an Organized Health Care Education/Training Program providers in Grand Rapids · All 20,987 providers in Grand Rapids
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