Individual
BSMA HALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 FRY RD, BURT, MI 48417-9604
(989) 780-6758
Mailing address
1955 FRY RD, BURT, MI 48417-9604
(989) 780-6758
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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