Individual
BETTIE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4464 SEMINOLE ST, DETROIT, MI 48214-1158
(586) 596-7564
Mailing address
4464 SEMINOLE ST, DETROIT, MI 48214-1158
(586) 596-7564
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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