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India Houston

NPI 1619721537 · on the registry since 2024 · sole proprietor

Practice

Address
1161 Alexander St Se
Grand Rapids, MI 49507
Phone
(616) 299-1686

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-16

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