Individual provider · Type 1 NPI

Amanda Rose Ralston

Specialist · Grand Rapids, MI

NPI number 1386964567 Active

Practice location

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336

Call (616) 940-0040 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386964567

Amanda Rose Ralston's National Provider Identifier is 1386964567, issued on Jun 10, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 10, 2010.