Most Relevant Information
Provider Data
NPI Number: | 1003540105 |
Provider Name: | GRACIANA MARIE RIETEMA |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 07/13/2022 |
Last Updated: | 10/07/2024 |
Provider Practice Location
11652 W GRAND RIVER AVE
LOWELL
MI
493318465
Practice Location Phone/Fax
Phone: | 6163020169 |
Fax: |
Provider Mailing Location
11652 W GRAND RIVER AVE
LOWELL
MI
493318465
Provider Mailing Phone/Fax
Phone: | |
Fax: |