Kimberly Favela
NPI #1407414998 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1407414998
- Entity Type
- Individual
- Name
- Kimberly Favela
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- May 30, 2019
- Last Updated
- May 30, 2019
Practice Location
- Address
- 1490 E BELTLINE AVE SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49506-4336
- Phone
- (616) 940-0040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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