Individual
SARA SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5437
Mailing address
921 CARROLL ST, MARINE CITY, MI 48039-1779
(810) 335-0191
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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