NPI 1679328132

Jackie Kazungu Amani

Practitioner Reflexologist Grand Rapids, MI

Practice location

Address: 669 Stocking Ave NW, Grand Rapids, MI 49504-5176
Phone: (616) 235-1480
Mailing address: 4738 Eastern Ave SE APT 202, Grand Rapids, MI 49508-7543

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X

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Registry record

NPI: 1679328132
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2024
Record last updated: 18 Apr 2024

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.