Individual
BETHANY LYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3013 HIGHBROOK DR, MIDLAND, MI 48642-3925
(989) 859-4690
Mailing address
3013 HIGHBROOK DR, MIDLAND, MI 48642-3925
(989) 859-4690
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117120
MI
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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