SearchMichigan103K00000X

Abbey Mix

NPI 1699363101 · on the registry since 2021 · sole proprietor

Practice

Address
4434 Heather Ln Se
Grand Rapids, MI 49546
Phone
(616) 916-6838

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan