Individual
BREANA MONIQUE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16472 E 8 MILE RD, DETROIT, MI 48205-1517
(586) 522-9470
Mailing address
16472 E 8 MILE RD, DETROIT, MI 48205-1517
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
MI
126800000X
Dental Assistant
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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