Individual
MARY BETH LEITKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2280 E GRAND RIVER AVE, HOWELL, MI 48843-8503
(517) 546-5126
Mailing address
2280 E GRAND RIVER AVE, HOWELL, MI 48843-8503
(517) 546-5126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704102764
MI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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