Individual
BETH MONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19740 FORT ST, RIVERVIEW, MI 48193-6797
(810) 588-0537
Mailing address
19740 FORT ST, RIVERVIEW, MI 48193-6797
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703098898
MI
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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