Individual
KYLA M HUIZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4285 DEVELOPMENT DR, LANSING, MI 48911-4213
(517) 706-0421
Mailing address
3535 HARPER RD, MASON, MI 48854-9322
(260) 316-5259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007592
MI
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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