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Eltona Moni

NPI 1366712580 · on the registry since 2012 · sole proprietor

Practice

Address
2650 Atwater Hills Dr Ne
Grand Rapids, MI 49525
Phone
(616) 361-0455

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan