Organization
MENTOR FOR HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALOROUS BARDWELL NP (OWNER/PROVIDER)
(248) 750-7999
Entity
Organization
Contact information
Practice address
17515 W 9 MILE RD STE 195, SOUTHFIELD, MI 48075-4431
(248) 750-7999
Mailing address
17515 W 9 MILE RD STE 195, SOUTHFIELD, MI 48075-4431
(248) 750-7999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
03/13/2024
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