Individual
BETH L VALMASSOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
32121 WOODWARD AVE STE 200, ROYAL OAK, MI 48073-0999
(248) 690-9946
(248) 268-3661
Mailing address
32121 WOODWARD AVE STE 200, ROYAL OAK, MI 48073-0999
(248) 690-9946
(248) 268-3661
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704138683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4537169
—
MI
Enumeration date
12/19/2006
Last updated
05/11/2020
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