Individual
BRIANNA L VESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7864 MOORSBRIDGE RD, PORTAGE, MI 49024-4424
(313) 278-4601
Mailing address
31322 COUNTY ROAD 390 APT A, GOBLES, MI 49055-9324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152001420
MI
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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