Individual
BETH WINGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 CHAPIN ST, JACKSON, MI 49203-2000
(517) 499-0001
Mailing address
1703 CHAPIN ST, JACKSON, MI 49203-2000
(517) 499-0001
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0022688
MI
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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