Individual
MS. BEVERLY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHSA
Contact information
Practice address
820 GOLF DR, 302, PONTIAC, MI 48341-2368
(248) 790-1330
Mailing address
820 GOLF DR, 302, PONTIAC, MI 48341-2368
(248) 790-1330
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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