Carla Burgos De La Paz
NPI #1184016404 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1184016404
- Entity Type
- Individual
- Name
- Carla Burgos De La Paz
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Feb 24, 2015
- Last Updated
- Feb 24, 2015
Practice Location
- Address
- 1101 BALL AVE NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49505-5904
- Phone
- (616) 456-6571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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