Individual
CAITLIN JUDITH IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 S WESTNEDGE AVE, KALAMAZOO, MI 49008-3208
(269) 459-7821
Mailing address
17734 HURON DR, MACOMB, MI 48042-2387
(586) 854-1220
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
MI
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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