SearchMichigan3104A0630X

Raekesha Mcmillian

NPI 1053837922 · on the registry since 2017 · sole proprietor

Practice

Address
820 Watkins St Se
Grand Rapids, MI 49507
Phone
(616) 427-4570

Registry record

Primary taxonomy
3104A0630X
3104A0630X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-08-22

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