Individual
ASHLEY THEEUWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 68TH ST SW, BYRON CENTER, MI 49315-7923
(616) 745-7984
Mailing address
1803 68TH ST SW, BYRON CENTER, MI 49315-7923
(616) 745-7984
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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