Provider Demographics
NPI:1932653003
Name:BESTER, MARILYN M
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:M
Last Name:BESTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 ZEPHYR ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-6286
Mailing Address - Country:US
Mailing Address - Phone:734-717-7501
Mailing Address - Fax:
Practice Address - Street 1:1149 ZEPHYR ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-6286
Practice Address - Country:US
Practice Address - Phone:734-717-7501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-06
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other