Individual
BEVERLY BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2459 PARKER ST, DETROIT, MI 48214-1824
(248) 986-4595
Mailing address
2459 PARKER ST, DETROIT, MI 48214-1824
(248) 986-4595
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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