Perla Ambriz-Villasenor
Technician, Personal Care Attendant in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1306552005
StatusActive
Last updated in NPPESJan 25, 2023
Details
- NPI
- 1306552005
- Entity type
- Individual (NPI-1)
- Name
- Perla Ambriz-Villasenor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2023
- Certification date
- Jan 25, 2023
- Last updated
- Jan 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4218 Burton St SeGrand Rapids, MI 49546-6121
Phone 616-301-8000
Mailing address
1490 E Beltline Ave SeGrand Rapids, MI 49506-4336
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