MRS. Maryalice Adams, HAIR LOSS SPT.
NPI #1932667888 in Benton Harbor, Michigan
Provider Information
- NPI Number
- 1932667888
- Entity Type
- Individual
- Name
- MRS. Maryalice Adams, HAIR LOSS SPT.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetist
- Credential
- HAIR LOSS SPT.
- Enumeration Date
- Mar 11, 2019
- Last Updated
- Mar 11, 2019
Practice Location
- Address
- 152 LAKE AVE
- City
- Benton Harbor
- State
- Michigan
- ZIP Code
- 49022-4620
- Phone
- (269) 325-1001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetist |
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