Individual
KARA MARI LILI SURGEON RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1001 LAURENCE AVE STE D, JACKSON, MI 49202-2978
(517) 745-8433
Mailing address
8543 7 MILE RD, EVART, MI 49631-8407
(517) 745-8433
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14140
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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