Individual
BETHANY NEVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 KENMOOR AVE SE STE 301, GRAND RAPIDS, MI 49546-2395
(616) 340-3444
Mailing address
260 PROSPECT AVE SE, GRAND RAPIDS, MI 49503-4619
(616) 340-3444
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
CC-1C82015734
MI
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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