Bethany Larose

NPI #1336953934 in Birch Run, Michigan

Provider Information

NPI Number: 1336953934
Entity Type: Individual
Name: Bethany Larose
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Feb 4, 2025
Last Updated: Feb 4, 2025

Practice Location

Address: 12165 COUNTRY RUN DR
City: Birch Run
State: Michigan
ZIP Code: 48415-8535
Phone: (989) 928-7093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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