Individual
KRYSTLE BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 CHENE CT APT 702, DETROIT, MI 48207-3858
(313) 576-6973
Mailing address
1935 CHENE CT APT 702, DETROIT, MI 48207-3858
(313) 576-6973
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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