Individual
KEIARA BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 E HANCOCK ST, APARTMENT 812, DETROIT, MI 48201-1311
(313) 377-5648
Mailing address
80 E HANCOCK ST, APARTMENT 812, DETROIT, MI 48201-1311
(313) 377-5648
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B400465085608
MI
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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