Individual
JENNA BESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(231) 262-2145
Mailing address
4498 S QUARTERLINE RD, MUSKEGON, MI 49444-4243
(231) 262-2145
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2020
Last updated
12/08/2021
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