Individual
VICKI LYNN BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4232 29TH ST SE, KENTWOOD, MI 49512-1936
(616) 942-1818
Mailing address
4232 29TH ST SE, KENTWOOD, MI 49512-1936
(616) 942-1818
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
3502013188
MI
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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