Individual
ALIA ROSE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6770 SOUTHPOINTE CT SW, BYRON CENTER, MI 49315-8218
(616) 217-1007
Mailing address
6770 SOUTHPOINTE CT SW, BYRON CENTER, MI 49315-8218
(616) 217-1007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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