Individual
ALEXIS BRYANNA HOSHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 44TH ST SW, WYOMING, MI 49509-4312
(616) 604-8492
Mailing address
1428 44TH ST SW, WYOMING, MI 49509-4312
(616) 604-8492
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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