NPI 1013379577
Jehricole Olenzuk
Practice location
- Address
- 829 Forest Hill Ave SE, Grand Rapids, MI 49546-2325
- Phone
- (616) 949-2410
Registered specialties
Exercise & Sports Psychologist
Primary
Registry record
- NPI
- 1013379577
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Mar 2016
- Record last updated
- 24 Mar 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.