Individual
MRS. SUSAN BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2205 CHRISTINE CT SE, GRAND RAPIDS, MI 49546-6469
(616) 308-1904
(616) 805-3015
Mailing address
2205 CHRISTINE CT SE, GRAND RAPIDS, MI 49546-6469
(616) 308-1904
(616) 805-3015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704241178
MI
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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